Dr.Sana Beg, S21601
SYNOPSIS:56 years old female,referred to AVBRH as abandoned case of SICS due to subluxation of Msc right eye,came with redness,pain,watering, 3 days post attempted surgery with vision of pL +,pr accurate;on examination sclerocorneal tunnel wound superiorly , conjunctival and circumcorneal congestion,corneal edema,hypopyon,subluxated MSC ,unrecordable intra ocular pressure ,bscan-no posterior segment involvement .SICS right eye completed with post op eyedrops 1%methyl prednisolone,0.5%moxifloxacin ,0.3%homatropine and kept on close followup.Vision improved to 6/60-NI immediate post operatively with resolution of signs and symptoms.1.5 month post operatively bcva- 6/9P,normal IOP.Vitreous tap and aqueus humour culture negative .Initial mimicker of infective endophthalmitis – toxic anterior chamber shock syndrome is an eye opener on importance of correlation of signs,symptoms and investigations and sensitisation of operative team regarding etiology and prevention of the same.
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