A Rare Cause of Sympathetic Ophthalmia: Combined Penetrating Keratoplasty and Pupilloplasty

A 60-year-old male patient was referred to our clinic with the diagnosis of corneal staphyloma secondary to keratitis in the left eye. Penetrating keratoplasty (PK) and pupilloplasty were performed and one month after the intervention, the patient was admitted to our clinic with decreased vision in his right eye. Based on clinical findings, Fundus Fluorescein Angiography (FFA), and optical coherence tomography (OCT) results, he was diagnosed with sympathetic ophthalmia (SO) secondary to combined keratoplasty and pupilloplasty. The patient was treated with topical and systemic corticosteroids with immunosuppressive drugs. To the best of our knowledge, this is the first case of SO, on the basis of combined PK and pupilloplasty performed in a patient with acquired anterior staphyloma secondary to keratitis.