Dr. RADHIKA THUNDIKANDY

DR.VEDHANAYAKI RAJESH, DR.ANJANA SOMANATH, DR. R. RATHINAM SIVAKUMAR

Abstract

A 37 year old male patient presented with acute pain and defective vision both eyes. He gave history of fall of caterpillar larvae in both eyes. Examination revealed caterpillar hair in upper and lower palpabral conjunctiva, pattern abrasions both cornea and multiple scleral abscesses in the right eye. There was severe anterior chamber reaction and dense vitritis right eye with subretinal infiltrates. Scleral abscesses were drained and pus sent for culture and sensitivity . Culure showed growth of Pseudomonas aeruginosae. B scan right eye showed multiple dot vitreous echoes ,localised choroidal thickening with subjacent subtenons fluid. Patient was treated with systemic and topical antibiotics according to the culture and sensitivity report with complete resolution of the panuveitis .This is the first reported case of ophthalma nodosum presenting with scleral abscess and pan uveitis