DR. ABHISHIKTA CHAKRABORTY

DR.JAWAHAR JYOTI KULI, DR. UTKARSH RAI

Abstract

A 95yr old male presented with blurring of vision, redness & pain in left eye for 3days.He had h/o symptomatic Covid-19 two weeks ago,declared RTPCR negative 5 days ago.There was no ocular trauma or recent surgery.He is a known case of DM, HTN & COPD on regular medication.

BCVA was 4/60 OD & 1/60 OS.EOM was unrestricted.Direct & consensual reflexes were sluggish.S/L examination OS showed vascular sheathing, web like vitreous veils with big white snowballs adherent to it.Hypopyon noted in OS. Aphakia in B/E (past ICCE). Vitreous seen in pupillary area OU. IOP(AT) 14mm hg in OD & 18mm hg in OS. USG-B scan showed PVD in OS. Nasal Biopsy was negative for fungal elements.The diagnosis of Panuveitis secondary to Covid-19 OS was made after excluding all infectious & non infectious causes.The patient was treated aggressively with systemic and topical steroids,cycloplegics,antibiotic, NSAID eye drops & tear substitute.On follow up, the symptoms were reduced & the patient visibly improved.