DR. KANIKA BHARDWAJ

DR. TULIKA CHAUHAN, DR.LAKSHEY DUDEJA

Abstract

A young female presented with unilateral blurring of vision on waking up, since past 6 months. VA was 6/12 in RE and 6/6 in LE. IOP was normal in both eyes. On examination of RE, there was mild stromal haze without oedema and diffuse involvement of endothelium resembling “hammered silver” pattern. AC was quiet. Iris showed atrophic patches. Gonioscopy revealed PAS. Rest of the examination was non-remarkable. Patient was called two days later in the morning time to assess corneal status. Her pachymetry was normal. Provisional diagnosis of ICE syndrome was made based on unilateral presentation and long-term history. Few days later she reported with another episode of morning blurring. Examination revealed stromal oedema in RE. Patient was then started on oral antivirals. Her VA improved. On her last visit, patient was 6/6p in RE and 6/6 in LE. Viral keratitis is a great mimicker. Our patient presented with features suggestive of ICE syndrome but was a case of viral endothelitis.