DR. HARLEEN ANAND

DR. REENA KUMARI, DR.DINESH KUMAR BHAGAT, DR. SUMIT

Abstract

A patient presented with sudden loss of vision in OD, preceded by an penetrating injury in OS 3 weeks ago. BCVA OD was 1/60 and no PL in OS. Slitlamp examination OD had no anterior segment inflammation. Fundus examination-disc edema, multiple yellow lesions in outer retina, SRF and choroidal folds at the posterior pole. OS examination-intrastromal exudates, collapsed anterior chamber with no visible iris details suggestive of perforated corneal ulcer and ocular hypotony. OCT of OD- RPE folds, septate SRF pockets, and bacillary layer detachment. B- scan of OD-diffuse choroidal thickening OS-reduced axial length with thickened ocular coats. FFA-multiple pinpoint hyperfluorescence with late dye pooling and Optic disc hyperfluorescence suggesting disc edema. T/t- I/V methylprednisolone f/b oral steroid in tapering dose and oral azathioprine. At 4 months, BCVA in OD improved to 6/9 with OCT showing resolution of disc edema, SRF, and minimal hyperreflectivity at outer retina and RPE level.