ABSTRACT
We report a case of keratoconjunctivitis medicamentosa in a 64-year-old female. She was operated for cataract 4 months back and treated for viral keratitis at present. Ocular examination revealed inferior sterile corneal melt with ischemic necrotizing scleritis and ischemic necrosis of tarsal and lower fornix conjunctiva. Keratoconjunctivitis medicamentosa was diagnosed. Tenonplasty with multilayered amniotic membrane grafting and mucous membrane grating of the tarsal plate was done to which she responded well. Chemical irritation of the ocular surface by topical drops may result in keratoconjunctivitis medicamentosa. A high index of suspicion is required for the accurate diagnosis of such a visually debilitating condition.
ABSTRACT
Primary conjunctival tuberculosis is a rare entity in India. Here, we report a rare case of bilateral primary conjunctival tuberculosis in a 20-years-old female. She had multiple granular lesions in both the eyes for one year and was not responding to topical antibiotic or steroids. Slit-lamp examination showed multiple small subconjunctival granulomas. Conjunctival excision-biopsy revealed granulomatous inflammation with caseous necrosis. A diagnosis of primary conjunctival tuberculosis was made and anti-tubercular therapy was started to which the patient responded rapidly with complete resolution of the lesions by 2 months. Histopathological examination of chronic non-resolving inflammatory conjunctival lesions is important as it may be a rare presentation of a disease like tuberculosis
ABSTRACT
AIM: To evaluate and compare subjective and objectively, the course of surgically induced dry eye following both phacoemulsification ( PKE ) and manual-small incision cataract surgery ( SlCS) procedure, and to analyze the result in terms of causative factors. ●METHODS:This single centre prospective study included 100 eyes of 100 patients randomly divided into two groups (Group 1, SlCS-50 patients; Group 2, PKE-50 patients), who underwent cataract surgery with intraocular lens ( lOL)-implantation from Jun. 2013 to Dec. 2014 for a period of one and half year by single surgeon. Ln all patients post operative course of dry eye were tabulated and assessed at 1, 4, 12wk, subjectively and objectively, and thereafter analyzed in terms of possible causative factors. Statistical data were calculated using SPSS 23. 0 Windows software. RESULTS: There was no significant preoperative intergroup difference in subjective and objective dry eye test (DET) values (P>0. 05). Both the groups showed similar trend of persistently declining objective DET -values till at the end 12wk, as compared to their respective preoperative values (P0. 05). PKE seems to have better subjective DET-value at the end of 12wk. ●CONCLUSlON:Dry eye disease is inevitable following cataract surgery. Both PKE and SlCS, can affect the dry eye test values in almost similar manner post operatively till up to 12wk. Randomized multicentre trial with larger cohort and longer follow-up is warranted to substantiate our findings.
ABSTRACT
Phacoemulsification with implantation of single-piece acrylic foldable intraocular lens (IOL) in a 19-year-old boy with microspherophakia, high myopia and angle closure glaucoma is described. The associated myopia and angle closure glaucoma was severely compromising the quality of life. Post-surgical visual recovery was 20/20 with sustained normal intraocular pressure. Management of such cases at times calls for innovations in current surgical technique.