DR. SRAWANI SARKAR

DR. NILANJAN KAUSHIK THAKUR, DR.RUMA DAS, DR.PRASANNA JIT DAS

Abstract

A 35-year-old female presented with 2 months history of bilateral redness and pain in the eyes. The patient was previously treated with Moxifloxacin eye drops for suspected infectious conjunctivitis. She had a history of joint pains with swelling and generalized weakness. On examination, visual acuity was 6/9. IOP was 16 mmHg. Pupils were round reactive. On slit lamp examination, there was mild conjunctival and episcleral congestion, minimal mucous discharge, no cells or flare in the anterior chamber and a clear cornea. On dilated fundus examination, the disc and vessels were normal. Erythematous circular macules and papules were present over the palms and extensor surfaces of the extremities and back. A diagnosis of Erythema multiforme with bilateral episcleritis was made. The patient was placed on topical Loteprednol 0.5% and Sodium hyaluronate every 6 hours. After 1 week of follow-up, she had a resolution of symptoms, and the topical steroid was gradually tapered.