DR. APOORVA GOEL

DR. RAJENDRA SINGH CHAUHAN, DR. ASHOK RATHI, DR. CHETAN CHHIKARA

Abstract

A 65-year-old man with a history of decreased vision, redness and watering in right eye for one week presented at our OPD. He was on regular follow up for right eye recurrent viral kerato-uveitis and was on low dose topical steroids. On examination, the best-corrected visual acuity was perception of light in the right eye and 6/24 in the left eye. Anterior segment examination of the right eye showed lid edema, circumcorneal congestion, cloudy vascularized cornea and a turbid anterior chamber with raised intraocular pressure. A clinical diagnosis of endophthalmitis was suspected. However, anterior segment ultrasound bio-microscopy confirmed the presence of a deep anterior chamber, a hyper-mature cataractous nucleus with lax capsular bag, and ruptured anterior lens capsule (phacolytic glaucoma). The patient was started on anti-glaucoma medications for IOP control and subsequently underwent cataract surgery.