DR. DURGALAXMI MODAK

, Dr.SANJAY SRINIVASAN

Abstract

We present an unusual case of a 25-year-old Asian Indian female with increased redness and blurring of vision of a day’s duration. She had been playing in snow on her vacation and had an apparent injury to right eye 10 days back. The original video of the incident was provided by the patient. Her uncorrected visual acuity by Snellen’s chart was 20/20, and Intraocular pressure was normal in both eyes. Right eye revealed a traumatic anterior uveitis and mydriasis, left eye was normal. Infrared video imaging of the pupil in bright and dark shows anisocoria worse in bright light, and difference in size of right and left pupil. There was no evidence of posterior segment involvement. She was treated with topical steroids, her anterior chamber inflammation improved but had persistent mydriasis with no effect on her near vision. This case proves that symptoms can occur days after injury. Some injuries can cause structural damage to ocular structures and can be permanent.