DR. AMITA NAIR

DR.NIKULAA PARACHURI, DR. PREETI SURPUR

Abstract

A 37-year-old woman with no known systemic ailment, diagnosed as having left eye ICE syndrome at elsewhere presented with complains of decreased vision in the left eye since 1 month. Her bcva- RE- 6/6,N6, LE- 6/18, N12. GAT-13,19. Fundus evaluation showed blunted foveal reflex and macular edema was present. On the OCT macula of the left eye, intraretinal fluid with neurosensory detachment was noted. Patient was started on nepafenac 0.3%, dorzolamide 2% and timolol 0.5% . After 4 weeks, BCVA in left eye improved to 6/12, N10 GAT-13,10 mm Hg, the patient was symptomatically better and macular edema had resolved on fundus evaluation with complete reduction of intraretinal fluid in OCT with mild neurosensory detachment persisting. The pathogenesis of macular edema has been hypothesized that the contraction of abnormal basement membrane formed by proliferation of altered endothelial cells may be responsible for disruption of the inner blood-retinal barrier causing macular edema.