DR. MANOGNA A

Dr.Yerramilli Sriniwas, Dr.Menda Parni Kumar, DR. DURGA SUBHA KEERTHI PATIBANDA

Abstract

A 62 years old male patient presented to OPD for cataract surgery.Detailed history revealed that he was screened in a peripheral camp & advised cataract extraction.Camp reports showed undilated fundus examination done& diagnosed as Glaucoma & advised beta-blockers.He is using Timolol Maleate e/d since 6months.His BCVA in OD 6/36,N24 & in OS 6/12,N9.On clinical examination,both eyes anterior segment showed minimal lenticular sclerosis with cortical spokes,CCT & Applanation tonometry-within normal limits & gonioscopy-open angles.Dilated fundus examination done with 90D lens,OD-Coloboma of optic disc,inferonasal Retinochoroidal coloboma.OS-Inferonasal Coloboma of optic disc.HVF analysis was done,corresponding Superior arcuate scotoma in OD & Superotemporal early depression in OS were noted.Patient was advised to stop anti-glaucoma medications&regular follow up.This case highlights the importance of detailed clinical examination including a dilated fundus examination in a case of Glaucoma.