DR. HARIKRISHNAN VANNADIL

DR. SHRUTHI BATHULA, DR.SANJANA JAISWAL

Abstract

UES is a rare syndrome where multiple medical and surgical modalities have been tried with variable outcomes. A 50-year-old pseudophakic patient presented with enteric fever, pain and low vision in left eye for past 02 days with associated headache. Left eye could perceive light with accurate projection. Examination revealed a tense Left eye with oedematous cornea, collapsed anterior chamber (AC), a non-reactive pupil and no retinal view. Patient was managed with intravenous, oral and topical IOP lowering drugs in addition to oral steroids since USB B-Scan revealed ciliary effusion. An iridodialysis was surgically induced. IOP reduced and AC remained formed. Vision of left eye improved to 6/12 at 03 months. UES caused by typhoid or the mechanism has not been reported in literature. Surgical management remains the definitive treatment. In a case of UES secondary to Typhoid fever, surgical iridodialysis and IOP control with oral steroids resulted in remission of the condition.