DR. KALPANA BADWAL

DR. SUMITA MOHAPATRA, DR.ANITA MISRA

Abstract

Case report: A 47 years old male patient, a known case of CKD since 7 years presented with sudden loss of vision along with swelling, redness, watering and purulent discharge of right eye for 2 days. On examination, right eye showed edematous lids,severe conjunctival chemosis with hyperaemia,corneal edema,fresh keratic precipitates lining endothelium,AC flare,hypopyon,mid-dilated pupil,not reacting to light with ?exudative membrane over pupil. Yellow fundus reflex was seen. CBC showed leucocytosis with neutrophilia and anemia. FBS, PBBS, HbA1c in pre-diabetic range. Patient was empirically started on broad spectrum intravenous antibiotics. Blood culture showed growth of klebsiella spp. MRI orbit showed features suggestive of endophthalmitis-panophthalmitis spectrum with breach in sclera. Patient was advised evisceration. Early diagnosis and management is very important in such cases. However, the outcome is very poor with most cases usually requiring evisceration or enucleation.