DR. ABHISHEK ONKAR

Abstract

Objective: Ocular imaging of corneal phlycten

Methods: A 16 year old female presented to Ophthalmology outpatient department with complaints of pain and photophobia. She has had repeated such episodes for past 2 years. Personal and past family history was insignificant for any systemic or chronic disease. There was no history of stickiness of eyelids, any febrile episodes or ocular trauma. On examination, multiple yellowish white triangular stalactite like elevations projecting from the limbus the towards pupil were observed from 8 0’ clock to 10 o’ clock positions. Leash of blood vessels were present around the base.

Results: A clinical diagnosis of phlyctenular kerato-conjunctivitis was made and the patient started on topical steroids with excellent resolution of lesions over a week.

Conclusion: This ocular imaging documents stalactite like appearance of corneal phlyctens which usually present as nodules on cornea.