Dr.SUDIPTA MITRA

Dr.Ajoy Paul, DR.SUGATO PAUL, Dr.Siddhartha Bose

Abstract

FIRST CASE WAS A 58 YEAR OLD LADY WITH DIMINISHED VISION IN RIGHT EYE OVER 3 DAYS. HER VISION IN RIGHT EYE WAS COUNTING FINGERS AND SHE HAD SEVERE IRIDOCYCLITIS. WITH TOPICAL TREATMENT, AFTER 2 DAYS THERE WAS NEARLY FLAT ANTERIOR CHAMBER, OCCLUSIO PUPILLAE AND INTRAOCULAR PRESSURE OF 56. IMMEDIATELY SHE WAS GIVEN INTRAVENOUS MANNITOL. AS THE PERIPHERY WAS FLATTER THAN THE CENTRE OF ANTERIOR CHAMBER, ND YAG LASER WAS DONE IN PUPILLARY AREA VERY CAREFULLY AVOIDING INJURY TO THE ENDOTHELIUM AND THE INTRAOCULAR LENS BEHIND. IMMEDIATE GUSH OF FLUID FROM BEHIND IRIS FORMED ANTERIOR CHAMBER AND REDUCED INTRA OCULAR PRESSURE. THE IRIDOCYCLITIS WAS CONTROLLED OVER TIME WITH TREATMENT.

THE SECOND CASE WAS OF A 5 YEAR OLD BOY WHO ACCIDENTALLY HAD A PARTIAL THICKNESS CORNEAL PERFORATION WITH SMALL FLAKE OF BAMBOO, SEEN ONLY FROM THE ENTRY SITE. UNDER TOPICAL ANAESTHESIA IN SLIT LAMP, WITH A FINE FORCEPS THE END WAS COAXED OUT AND SLOWLY REMOVED ALONG THE SAME TRACK AS OF ENTRY .