SHORT CASE

 B. Jayamma
 30 yrs
 Female
 From narsipatnam
 Working as a daily labourer
Chief complaint:
• Pain, redness, watering and defective vision of right
eye since 15 days

History of Present Illness:

• Gradual, painful progressive diminution of vision
since 15 days
  Pain is gradual in onset, throbbing in nature associated
with redness, watering and photophobia of right eye
since 15 days

 Patient had a history of fall of vegetative matter in RE

20 days back
• No H/O skin rash, fever

Past history :
• Not a known diabetic or hypertensive.
Treatment H/O :
Patient underwent t/t at a private hospital for the
same complaint

Personal H/O :
Mixed diet
Bladder and bowel normal

Family H/O : nil significant

General Examination:
Patient is thin built
No pallor/cyanosis/icterus/clubbing/lymphadenopathy

 Pulse-74/min
 BP-120/80 mm of hg
 RR- 18/min
 Temp- Afebrile
LOCAL EXAMINATION

 Head posture – N
 Facial symmetry – N
 EOM – free, full and painless in all cardinal directions
 Right Left

OPHTHALMIC
visual acuityEXAMINATION
HM + : 6/6

Eyelids Edematous Normal

Lacriminal sac area normal normal

Conjunctiva CC+ Normal

CCC+
 RIGHT EYE LEFT EYE
Cornea: Right
A greyish eye
white Clear right Eye
vertically oval ulcer
of size 7mm
6 mm present at the
center of the cornea.
Margins are sloping
,edges well
demarcated,cornea
hazy ,edematous with
infiltrates into the
surrounding cornea
in a feathery pattern.

Flourescein Negative
staining: Positive

Corneal sensations Intact

Intact
 RE LE

Anterior chamber Hypopyon +,3mm Normal Depth

Yellowish ,thick and
immobile ,convex
Iris Normal colour Normal colour
Normal pattern Normal pattern

Pupil Dilated,not reacting to Normal size

light Reacting to light
( ?drug induced)
Lens details not clear Clear

Fundus examination media hazy due to Media clear

corneal haziness. OD and vessels –N
Macula –FR+
Investigations

 Syringing of ducts : BE – patent

 Urine-albumin/sugar - nil
 To summarise..
THANQ