DR. LABA BHANDARY

DR. PAYAL SINGLA, Dr.PARTHASARATHI GAYAN

Abstract

30 yr male presented with pain, redness and DOV R/E for 3 days, associated with loss of vision L/E after penetrating ocular trauma by stone 1 month back. O/E, VA R/E: 1/60, L/E: PL neg, circumciliary congestion B/E, hazy cornea with microcystic edema with KPs R/E, full thickness corneal tear (2’o clock to 7’o clock) with vascularization L/E, AC reaction R/E, sluggishly reacting pupil R/E, rest details not seen. It was associated with tinnitus, vertigo, mild SNHL for which ENT consultation was taken. USG B scan: vitritis, choroidal thickening R/E. He was diagnosed as a case of sympathetic ophthalmitis B/E and given IVMP 1g/d for 3 days f/b oral steroids (prednisolone 50mg/day f/b tapering), topical antibiotic-steroids (Gatiquin P), oral antibiotics (cefixime) and pantop. Patient underwent enucleation L/E. On discharge, VA in R/E: 6/12 with subsidence of ocular signs and symptoms. Fundus (when media became clear) showed macular edema. Patient is on low dose steroids and under follow up.

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