DR. M. SRINIVASAN GOUNDER

DR. MOHD SAIF, DR. MOHD SAIF

Abstract

A 45-year-old male presented with history of acute episode of pain ,redness and DOV in RE 5months back for which he took analgesics and ignored the diminution of vision. The BCVA at presentation in RE was hand movements close to face and LE was 6/9 with near add of +1.5DS. On examination RE cornea was hazy , pupil was mid-dilated very sluggishly reacting to light , AC was shallow(VH Gr 1) with anterior bowing of iris, posterior synechiae was present and lens showed early cataractous change(ACC 1+/NS1+). Optic disc cupping of 0.6/0.7 was noted. Gonioscopy revealed no structure visible in angle of RE , LE angle was schaffer’s grade 2/3. The IOP 40mmHg by applanation tonometry. LE was WNL. He was prescribed oral acetazolamide 250mg TDS and topical brimonidine+timolol BD. On follow up , the IOP in RE was still 40mmHg but pain had diminished. Oral glycerol 1 ounce TDS was added but iop was not controlled. Trab. with MMC under mannitol infusion was planned with GVP consent.