Sympathetic Ophthalmia Successfully Controlled with Methotrexate

This is a case of sympathetic ophthalmia in a 31 year old man presenting five months after a penetrating globe injury to his left eye. Vision loss in the right eye was unexpected and the patient’s uveitis became refractory to prednisone treatment. The patient was successfully treated and his uveitis remains quiet with combined methotrexate and prednisone therapy. This case was well documented with fluorescein angiography and fundus photography throughout the treatment course