Optical coherence tomography as a tool to detect early sympathetic ophthalmia in an asymptomatic patient

Sympathetic ophthalmia (SO) is a rare and dreaded complication of accidental or surgical trauma and results in diffuse granulomatous panuveitis in both the injured (inciting) and contralateral (sympathizing) eye. 1 Although the diagnosis of SO is made clinically and supported through histopathologic findings, multimodal imaging has been described to help support the diagnosis after disease onset. 2 , 3 , 4 , 5 , 6 To the author's knowledge, our case is the first in which spectral-domain optical coherence tomography (OCT) was used to diagnose early SO in an otherwise asymptomatic patient. A 23-year-old male sustained penetrating ocular trauma to his left eye ...