DR. PANDAV SURINDER SINGH

, Dr. FAISAL T. T., Dr.SONAM YANGZES, DR. AMIT GUPTA

Abstract

A 20-year-old female presented with painless, progressive blurring of vision in both eyes for 3 months. She was a kidney transplant recipient. On examination visual acuity in right eye was counting fingers at 2 meters and 6/60 in left eye. Intraocular pressure was 2mmHg in both eyes. There was scleral thinning in nasal aspect of both eyes with shallow anterior chamber depth and mid-dilated pupils. In the nasal limbal area, there was presence of multiple fluid pockets seen which was later confirmed to AS-OCT to be a result of fistula connecting anterior chamber to sub-conjunctival space. Fundus examination of both eyes showed maculopathy. The patient underwent conjunctival dissection with plugging of conjunctival fistula with fibrin glue assisted patch graft. In the post operative follow, the chamber formed well with resolution of maculopathy. Visual acuity at last follow up was 6/12 in RE and 6/18 in LE and IOP improved to 12mmHg and 14 mmHg in right and left eye respectively.