DR. NIRANJAN R

Dr. SRINIVASA K. H., DR. ANOOP L, Dr. SURESH BABU G.

Abstract

A 27 year old male patient who underwent ICL implantation in left eye presented with complaints of diminution of vision in left eye, mild pain and redness 4 days following surgery. The surgery was uneventful and patient had 20/30 vision following surgery.

On examination, patient had 20/600 vision. Anterior segment examination showed corneal edema, with anterior chamber cells and flare, dilated pupil and hypopyon. Intraocular pressure was elevated on applanation tonometry. B scan ultrasonography showed moderate echoes suggestive of inflammation.

Patient was started on topical antibiotics and anti glaucoma medications and was given a dose of intravitreal antibiotics, along with which AC tap. The AC tap didn’t show any microorganisms, so the patient was started on topical and oral steroids. On follow up, corneal edema reduced, anterior chamber reaction decreased along with the intraocular pressure. B scan ultrasonography also showed resolution of echoes and vision improved to 20/30.

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