Dr. RANJANA PANDE

DR. TEJAS KESHAOWAR, DR. SATISH SHITOLE

Abstract

68-year-old male presented with irritation, redness, intense pain and watering. Ophthalmic examination showed visual acuity 6/36 improving to 6/18 in right eye and 6/18 not improving in left eye. In right eye, peripheral corneal thinning was present from 3 to 9 O’ clock and in left eye thinning was present from 6 to 9 O’ clock. Both eyes were having conjunctivalisation of cornea associated with conjunctival and circumcorneal congestion. Patient was started on steroids and cycloplegics and advised investigations, results of which were not conclusive of any specific etiology. We took clearance for immunosuppressants but wasn’t started as patient was not affording. After 7 days, he presented with right eye peripheral corneal perforation with iris impaction. It was managed with banana graft from therapeutic grade cornea with conjunctival resection. On next day, aggressive steroid and cycloplegic therapy was started. On follow up patient had accepted graft without any signs of rejection.