DR.SRIRAM SIMAKURTHY

DR.ASHOK KANAKAMEDALA, DR.MADHU KUMAR R., DR. JAYAMADHURY GUDIMETLA

Abstract

A 17-year-old male presented with sudden onset unilateral painless diminution of vision in the right eye two days post blunt trauma with a tennis ball. He had an unaided vision of 2/60, improving to 6/9 with high myopic refraction, which resolved by two weeks. Slit-lamp examination showed a shallow anterior chamber with a clear crystalline lens at presentation. Use of multimodal imaging – Anterior segment OCT, ultrasound biomicroscopy, and IOL master revealed the pathogenesis of traumatic myopia due to a combination of factors such as ciliochoroidal effusion, increased anteroposterior lens thickness, and anterior shift of lens-iris diaphragm. Multimodal imaging helps demonstrate the pathogenesis, and transient nature of the disease process, which helps in patient counselling and management of the condition.