Dr. PANKHURI AGRAWAL

Dr.Ananth Bhandary

Abstract

INTRODUCTION :Accidental splash of orange-rind juice in 21years/M patient’s eye leading to complaints of redness, watering ,photophobia and haze within 24 hours.

AIM :Awareness of ocular side effects of orange-rind juice.

METHOD :Patient had an uncorrected visual acuity of 6/60 ,slit lamp showed right eye mild conjunctival congestion and central corneal oedema with no sub-epithelial infiltrates.On fluorescein staining, no stain taken up by cornea showing no epithelial defects.Anterior segment OCT revealed central stromal oedema with CCT of 660 micrometer.pH of the right eye was 6 which returned to 7 on thorough eye wash with saline.

RESULT :Patient was started on topical steroid-prednisolone acetate 1% along with lubricating eye drops following which 48 hours later, slit lamp examination showed resolving stromal oedema with improved uncorrected visual acuity of 6/18 in right eye.

CONCLUSION :Orange rind juice induced endothelialitis showed good response to topical steroids