DR. JEMINI SHRIGOVIND PANDYA

, Dr. SHREYA SHAH, Dr. MEHUL SHAH, Dr.DR. MRUGESHA VAGHELA

Abstract

INTRODUCTION: A CORNEAL ULCER, A DEFECT OF THE CORNEAL EPITHELIUM INVOLVING THE UNDERLYING STROMA, IS A POTENTIALLY VISION-THREATENING OCULAR EMERGENCY. EVEN WITH PROMPT TREATMENT PATIENTS CAN SUFFER SIGNIFICANT MORBIDITY WITH COMPLICATIONS INCLUDING CORNEAL SCARRING OR PERFORATION, DEVELOPMENT OF GLAUCOMA, CATARACTS OR ANTERIOR AND POSTERIOR SYNECHIAE, AND VISION LOSS.

CASE REPORT: A 47Y/O MALE PRESENTED WITH PAIN, BLURRY VISION, CILIARY CONGESTION AND FB SENSATION. PATIENT WAS DIAGNOSED AS PERFORATED CORNEAL ULCER WITH FLAT AC. AFTER TREATING WITH TOPICAL ANTIBIOTICS, DORZOLAMIDE PATIENT WAS ADVISED BANDAGE CONTACT LENS, SYSTEMIC ACETAZOLAMIDE AND IV MANNITOL. HE THEN UNDERWENT SURGICAL PERIPHERAL IRIDECTOMY AND AC RECONSTRUCTION WHICH RESULTED IN AC FORMATION.

CONCLUSIONS:GLAUCOMA SECONDARY TO PERFORATED ULCER WAS SUCCESSFULLY MANAGED BY THE ABOVE MENTIONED METHOD. PATIENT WAS SYMPTOMATICALLY BETTER.