25 years old female, H/o diminution of vision in LE since 2-3 months Pain in LE since 15 days Not a k/c/o hypertension, T2DM No h/o trauma Vision RE 6/6 LE PL+ve PR accurate BP- 130/90 Examination of LE : AC cells & flares Hypaema Pupillary memberane Pupil dilted fix Vitrits What would be diagnosis ?

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Well, it looks like panuveitis to me. The first b scan showed scattered anterior vitreous opacities (anterior vitreous cells maybe?). The latest scan shows these cells have organised in the area behind the lens. The Iop is low, there seems to be posterior synechiae and complicated cataract. Anyways treat with topical and systemic steroids, cycloplegics, mydricaine injections. I don't think it's NVG as the IOP would have been very high if the eye looked like this. It's not endophthalmitis as the rest of the vitreous is clear on b scan. Vasculitis cannot be ruled because of the mature cataract. Investigate for systemic causes. Refer to a physician if u have to. Do a ubm if u have access to one to rule out any ciliary body tumours. Do keep us updated.
DD s can be PDR, NVG, tumor from ciliary body,trauma, UBM will rule out any mass from ciliary body.. Other eye will throw light on PDR changes, glaucoma Proper history taken can rule out trauma
No history of trauma Not a k/c/o diabetes mellitus
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Since she is diabetic wat is the status of fundus in the other eye..if some changes there then cud b complex of diabetic retinopathy else vasculitis choroditis complex
Mam she is non diabetic
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No history of HT or DM suggests very less chances of NVG.. so probably a severe iridocyclitis with vasculitis.. check other eye for any findings
Thank you.. Please take notice on today's repeat bscan
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endogenous endopthalmitis?
Please take notice on today's repeat bscan
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Panuveitis
Either severe uveitis or iris neovascularisation. Why there is subconjunctival hemorrhage? Please R/O Retinal vasculitis in the fellow eye by fully dilating pupil.
Please take notice on today's repeat bscan
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NVI leading to nvg.wt ws iop.cud b PDR r spill over ant uveitis frm posterior segment r periphlebitis r venous occlusions
Mam she is non diabetic patient Rbs - 116 mg/dl
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I agree with Dr. Rajan but anterior focal /diffuse metastatic endophthalmitis must also be kept in mind!
could be a post inflammatory neovasular glaucoma. What s the tension in that eye?
Tension LE 8.0 Please take notice on today's repeat bscan
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