Sympathetic ophthalmia Spared eye injury

• Facts:
  Immune-mediated inflammation of one eye (the sympathetic eye) after a penetrating injury to the other eye
  
  Due to antibody mediated, immune response to 'hidden ocular antigens' from the penetrating eye injury
  
• History / PE:
  Floating spots
  Anterior uveitis / panuveitis
  Papillary edema
• Treatment:
  Prompt enucleation of the injured eye
• Complications:
  Blindness
• Differential Diagnosis:
  Vogt-Koyanagi-Harada syndrome (same pathogenesis, sans injury)
• Keywords:
  Autoimmune hypersensitivity to uveal/ocular antigens