<prompt> Which one is seen after penetrating injury in ciliary body?IridocyclitisSympathetic ophthalmitisEndophthalmitisCorneal ulceration  <response>: Ans. b Sympathetic ophthalmitisRef: A.K. Khurana 6th ed. 163y 437 Sympathetic ophthalmitis is a serious bilateral granulomatous panuveitis which usually occurs due to penetrating trauma to ciliary body. The injured eye is called exciting eye. Fellow eye which also develops uvieitis is called sympathizing eye.Features Always follows a penetrating wound. More common in children than in adults. It doesnt occur when actual suppuration develops in the injured eyePathologies Uveal pigment acts as allergen and excites plastic uveitis in the sound eye. Dalen-Fuchs nodules are formed due to proliferation of the pigment epithelium of the iris, ciliary body and choroid associated with invasion by the lymphocytes and epitheloid cells.Clinical Picture Prodromal stage: Sensitivity to light photophobia transient indistinctness of near objects is the earliest symptoms. First sign may be presence of retrolental flare or the presence of a keratic precipitates KPs at back of cornea. Fully-developed stage: has typical signs and symptoms consistent with acute plastic iridocyclitis. Dalen Fuchs Nodules are characteristic of SO. Exciting injured eye: Keratic precipitates may be present at the back of cornea Sympathizing sound eye: usually involved after 4-8 weeks of injury in the other eye. Treatment - Early excision of the injured eye. Topical cycloplegics IVoral steroids are also used for treatment. 