Penetrating Keratoplasty for the Exciting Eye in Sympathetic Ophthalmia

Purpose We report a case of sympathetic ophthalmitis where we performed penetrating keratoplasty on the exciting eye many years after the initial injury. Methods Case report. Results After penetrating keratoplasty, the patient achieved vision of 3/60 from preoperative perception of light. Conclusions Our experience shows that penetrating keratoplasty can restore useful vision in the previously injured exciting eye in sympathetic ophthalmitis. This case highlights a unique example where the inciting eye has ultimately become the eye with the better vision as the damage was limited.