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Title	Pattern of Sympathetic Ophthalmia in a referral center in Tunisia, North Africa

Purpose	To describe clinical profile and visual outcomes in patients with sympathetic ophthalmia.
Methods	Retrospective review of the charts of 20 patients diagnosed with sympathetic ophthalmia.
Results	Mean age was 53.8 years with 12 male (60%) and 8 female. The most common inciting event was trauma (65%), followed by vitreoretinal surgery (20%). Mean initial BCVA was 20/250. Clinical findings included exudative retinal detachment (60%), optic disc swelling (85%), retinal striae (40%), vitritis (90%), and anterior chamber inflammation (55%). Fluorescein angiography showed pinpoints (55%), late dye pooling (55%), and disc hyperfluorescence (90%). OCT demonstrated exudative retinal detachment (70%) and folds of the retinal pigment epithelium (65%). Mean final BCVA was equal to or less than 20/200 in 20% of eyes. Complications included cataract (25%), glaucoma (20%), cystoid macular edema (20%), and choroidal neovascularization (5%).
Conclusion	Sympathetic ophthalmia is a rare sight-threatening condition. Complications may occur and are associated with worse visual prognosis.
Conflict of interest	No

Authors 1

Last name	ABROUG
Initials of first name(s)	N
Department	Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City	MONASTIR
Country	Tunisia

Authors 2

Last name	HADRICH
Initials of first name(s)	W
Department	Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City	MONASTIR
Country	Tunisia

Authors 3

Last name	KSIAA
Initials of first name(s)	I
Department	Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City	MONASTIR
Country	Tunisia

Authors 4

Last name	MEFTEH
Initials of first name(s)	M
Department	Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City	MONASTIR
Country	Tunisia

Authors 5

Last name	ATTIA
Initials of first name(s)	S
Department	Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City	MONASTIR
Country	Tunisia

Authors 6

Last name	KHAIRALLAH
Initials of first name(s)	M
Department	Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City	MONASTIR
Country	Tunisia