Chief & Presenting Author: Dr.Simran

Co Author(s): Dr.Shivangi Singh, Dr.Urmila Rawat

Abstract

CASE REPORT: A 50-year-old male with chronic uveitis and dense cataract in both eyes, complained of diminished vision, with visual acuity (VA) of HMCF in RE and FC at 3m in the LE, devoid of any systemic illness. Following LE Phacoemulsification, his VA improved to 6/18 on postoperative day (POD) 7. However, subsequent follow-ups showed decline in VA to 6/36, with quiet anterior chamber (AC). OCT was diagnostic of Cystoid Macular Edema (CME) for which Intravitreal triamcinolone was administered. A week later, his VA dropped to 6/60, accompanied by a shallow AC and elevated intraocular pressure (IOP) of 38mmHg, managed conservatively. Despite CME reduction, vision did not improve significantly, with IOP consistently above 26mmHg. Nd-YAG peripheral iridotomy was planned to alleviate IOP, eventually leading to a significant decrease to 10mmHg, with VA improving to 6/12 and complete resolution of CME. Subsequent RE phacoemulsification was performed, mindful of the potential complications.