Dr.Suriya Djeamourthy

Dr. RENUKA SRINIVASAN, Dr.ISHWARYA T.S.

Abstract

43 year old S/P double heart valve replacement for RHD and B/L hip replacement for

Ankylosing spondylitis came with H/O defective vision for 2 days.O/E:vision RE:6/6 and LE

:6/60NIP.LE anterior segment showed CCC,cornea few KP’s +,cells and flare 3+, streak

hypopyon,irregular pupil with fibrin membrane.B scan showed vitritis.The patient was

diagnosed LE endophthalmitis/severe iritis and started on oral and topical

antibiotics.Patient did not improve so topical steroids were added.Vitreous tap was done

and intravitreal antibiotics given,but the vision reduced to HM+PL+PR+.Urine culture grew

klebsiella,patient started on intravenous antibiotics and taken for High risk PPV with FAE

with poor visual prognosis.On table,fungal balls were seen in vitreous.Post operatively oral

and topical antifungals,steroids and cycloplegics were given.His post op vision remained

HM+PL+PR+.Steroids were tapered gradually.The vision improved to 6/60,Now at 3 months

the patient’s vision in both eyes is 6/6.