Purpose: The objective of this study was to show the severity of sympathetic ophthalmia and the need for immunosuppressive treatment.
Methods: The study included five cases of sympathetic ophthalmia following ocular injury in three cases and evisceration in two cases. The ocular lesions included total uveitis in all cases with papillary oedema in two cases. The treatment was based on corticosteroid therapy, with immunodepressants in four cases.
Results: Functional prognosis was good in four cases, with final visual acuity between 3/10 and 10/10.
Conclusion: Immunosuppressive treatment must be used on all cases of sympathetic ophthalmia with the goal of improving visual prognosis.