DR. S.AISHA RAZA

Dr. ANAM MASOOD, DR. S.AISHA RAZA

Abstract

An 18 year old male, army applicant, presented with complaints of diminution of vision, pain and watery discharge LE for 1 year following assault injury by brick. BCVA RE 6/6 and LE CF at 1/2 metre. On LE examination PSC formation was seen along with vitreous hemorrhage and medial canthal tear. Medial canthal repair was done. 1 week later patient presented with IOP of 50mmhg following which PPV and superior trabeculectomy was done. Patient discharged with patent PI and functional bleb. On follow up he presented with pain and IOP of 60mmhg. Subconj. 5FU injection given and he was started on topical and systemic antiglaucoma drugs. Later patient presented for cataract surgery LE. On SLE of LE bleb was flat, RAPD 1, and ASC with PSC seen. On fundus 0.6 cupping and temporal pallor was seen. Lens aspiration+PCIOL+CTR was done. Patient had pain and raised IOP with corneal edema post op. Systemic IOP lowering drugs given. 2 weeks later nasal trabeculectomy done due to persistent raised IOP.