Faculty
SHARAN NALWAR
Country: INDIA
Affiliation: THE EYE FONDATION
Image Bank
Retained iofb presenting as vitreous haemorrhage
SHARAN NALWARPatient presented with dimunition of vision in right eye,on evaluation patient had re- vitreous haemorrhage,on imaging iofb noted. Planned ppv and metallic iofb removed with the help of maxgrip forceps, through port widening,procedure uneventfull
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Letrozole-induced unilateral acute intermediate uveitis with cystoid macular edema
SHARAN NALWARA case of 48 y/o lady who presented with DOV in RE (6/60) since 15 days. She had a h/o Ca right breast treated with mastectomy 13 years back & was prescribed letrozole(AROMATASE INHIBITOR) 2.5mg OD as she had tested ER +ve. Anterior segment showed cells in AC & anterior vitreous face. Posterior segment revealed disc & macular edema. OCT also showed disc edema & CME. LE examination was WNL. Systemic investigations were WNL. She was asked to stop letrozole after oncology consultation & was prescribed topical prednisolone & nepafenac. Discontinuation of letrozole improved visual acuity to 6/18 within 1 month.
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Rickettsial retinitis
SHARAN NALWARRickettsial infections are caused by a variety of obligate intracellular, Gram-negative bacteria. Ocular involvement is common but often asymptomatic. All ocular structures can be involved, but posterior segment involvement is more common and most severe. Common posterior segment manifestations are inner retinitis with associated vasculitis and mild vitritis. There are various speculations regarding the pathogenesis of rickettsial retinitis. The cotton wool spot-like retinal lesions could result from intraretinal multiplication of organisms or alternatively due to immune complex deposition along retinal vessels.
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