Dr. Bhavna Nandan

DR. PALLAVI JOSHI, DR. YASH GALA

Abstract

33 year old male with history of diminution of vision associated with redness,pain,photophobia-3 days.Previously treated for recurrent redness and pain with steroids and immunomodulators but had deterioration of clinical course.On examination RE was normal,LE CF 3 mts,hypotony,large diffuse inferior conjunctival bleb,with inferior vascularised crescentic hazy thin cornea ,flat AC,choroidal folds at macula.Forced siedel’s was negative.AS-OCT quantified the extent of thinning with some hypo-reflective spaces. UBM was also done which substantiated the above findings and real time images showed filling of the bleb on pressure.BCL was placed- AC depth improved s/o microleaks being the cause of the bleb.Tissue adhesive assisted onlay crescentic sclerocorneal patch graft was done,resected conjunctiva on HPE-nonspecific inflammatory reactions.Post operatively AC-well formed with BCVA of 6/18. Patient also evaluated for systemic disease and treated with oral immunomodulators.