DR. SAHEBAAN SABHARWAL

DR. ADITYA SETHI

Abstract

Corneal blood staining (CBS) generally occurs in presence of hyphema & high intraocular

pressure. It can mimic appearance of crystalline lens in the anterior chamber making it a diagnostic challenge. A 10 year-old boy with 15 days history of loss of vision in the left eye following blunt trauma with a cricket ball presented to the OPD. Examination revealed a central amber-coloured disciform appearance on the cornea with a visual acuity of light perception. A diagnosis of dislocated lens in the AC was suspected. The differential diagnosis of CBS was initially precluded due to low IOP. This diagnosis was quickly revised after performing ultrasound B scan which suggested posterior dislocation of the lens. Thus, we can argue that this is a rare case of CBS in the presence of hypotony, an entity reported only once in the literature, to the best of our knowledge. Current investigations and management modalities for CBS with and without high intraocular pressure will be discussed.