DR. SUDIPTA MITRA

Abstract

An old lady with bilateral pseudophakia and tooth infection ended up with recurrent uveitis in one eye. She was treated repeatedly with topical medication with remission. Irregularity of visits were a hurdle to seeing her in the acute stages. In her third episode of Iridocyclitis she started self treatment of topical steroids at home . On third day she developed severe pain. On physical examination, the intra ocular pressure was 56 with occluded pupil by exudates . The anterior chamber was nearly flat at the periphery and a thin space was found in the centre . After Intravenous mannitol, pain relieving tablets and acetazolamide tablets ,under topical anaesthesia ND Yag pupillotomy was performed to open the pupillary area with a contact lens and interface gel. With the gush of fluid from behind Iris the anterior chamber formed, pain relived and the vision improved to 6/18 from hand movements. She stabilized with topical medicines and later underwent tooth extraction