Dr. Prerna Garg

DR. DUBEY SUNEETA, DR.SHAYANA BHUMBLA, DR.JULIE

Abstract

We describe a case of a 30 year old female presenting with bilateral acute onset severe pigment dispersion with intractable glaucoma, developing 2 weeks after COVID 19 infection and oral moxifloxacin use. The patient was diagnosed as bilateral uveitis and treated with intensive oral and topical steroids. On examination, no cells in AC, instead severe pigments were present with thick TM pigmentation, iris hypergranularity, mid dilated pupils and high IOP was present. Over 1 month, patient developed glaucomatous damage to both optic nerves due to the high IOP. Review of literature arose suspicion of presence of a mixed bilateral acute depigmentation of iris- bilateral acute iris transillumination like picture. She was managed with trabeculectomy in one eye, which brought her IOP to single digits. In literature, the disease has been reported to be of self limiting nature, due to which a MIGS procedure- trabectome surgery was done in the other eye, which brought the IOP to mid teen level.