Dr.Vasuraj, S16954
67 years, Female , presented with c/o pain, redness in BE ,with 2 -3 episodes of vomiting since 2 days.Pt. had h/o fever ,cough; on following medications since 3 days :T. Cefpodoxime 200 mg , T.Aceclofenac ,Syp. Entcof (Ambroxol + Guaiphenesin +Terbutalin ). CLINICAL EXAMINATION : BCVA : RE : 6/9 ;LE : 6/24 .BE :Corneal edema,circumcorneal congestion, Shallow AC, 6mm non reactive pupils ,NS Grade II ,IOP : 46 ( RE ), 44mmHg ( LE) .Gonioscopy :closed angles (all quadrants) .Fundus evaluation showed CDR 0.6 BE , hazy media . Axial Length:RE 21.94mm, LE: AL: 21.78 mm.AS-OCT of BE:360 degree angle closure . Patient admitted , anti-glaucoma medications were started. Post One week :with minimal improvement ,BCVA:RE 6/9; LE 6/9;Cornea clear,AC shallow OU.IOP:30 OD,36 OS. Gonioscopy: 360 degree synechial closure .IOP being 30, 36 mmHg in OD ,OS .BE LPI was done,followed by RE Phacotrab with MMC,LE operated after 1 month; Postop follow up of 2 months , BE : IOP within normal limits .
PRESENTATION NOT RECEIVED FROM THE AUTHOR.
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