Sympathetic ophthalmitis is a rare bilateral granulomatous panuveit is occurring after ocular penetrating trauma most frequently associated with uveal tissue prolapse. It can also occur following ocular surgery like cataract, vitrectomy, trabeculectomy, retinal detachment surgery and even after laser photocoagulation. Incidence varies between 0.05% to 0.2% following penetrating trauma and 0.01% following ocular surgery. According to our knowledge, this is the fist case of sympathetic ophthalmitis after open globe repair reported in Pakistan.