DR. BHUMIKA RATH

DR. G. NAGESWAR RAO, DR. NIDHI SINHA

Abstract

Red eye is the most common presentation in ophthalmic practices and can often be misdiagnosed.

We herein present 4 cases of red eye.

Case1

A 38 year male presented with small fixed pupil and minimal cells in anterior chamber. Visual acuity (VA) was Hand Movement. Fundus view hazy. B- Scan revealed funnel retinal detachment (RD). Patient was seropositive for cytomegalovirus.

Case 2

A 32 year female presented with pain, redness, chemosis and loss of vision. Fundus Flourescein Angiography and B- Scan revealed diffuse anterior and posterior scleritis. Patient improved to oral steroids.

Case 3 and 4

Two male patients, 56 and 37 years presented with vitreous haemorrhage and total RD. Intraoperatively, areas of focal necrosis and peripheral necrosed retina upto the equator were seen. Polymerase chain reaction of vitreous was positive for varicella zoster virus. They responded to oral antivirals and steroids with vision improving from Hand Movement to 6/24 and 6/60 in silicon oil filled eye