|Year : 2018 | Volume
| Issue : 1 | Page : 97-99
A rare case of superior hypopyon with iris neovascularization
Deepti Mahajan, Ravinder Kumar Gupta, Kulbhushan Prakash Chaudhary
Department of Ophthalmology, I.G.M.C., Shimla, Himachal Pradesh, India
|Date of Web Publication||5-Mar-2018|
Arunodaya, Cemetery Road, Sanjauli, Shimla - 171 006 Himachal Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Mahajan D, Gupta RK, Chaudhary KP. A rare case of superior hypopyon with iris neovascularization. Oman J Ophthalmol 2018;11:97-9
A 70-year-old female presented to the eye outpatient department with the chief complaint of blurred vision, pain, and redness in the left eye for 2 days. Visual acuity in the right eye was 6/6 and hand movement close to face in the left eye. Slit lamp examination left eye revealed a superior hypopyon, +3 cells in the anterior chamber, and iris neovascularization [Figure 1] and [Figure 2]. Intraocular pressure by noncontact tonometer was 10 and 22 mm in the right and left eye, respectively. B-scan [Figure 3] and magnetic resonance imaging (MRI) brain and orbit [Figure 4] were ordered.
|Figure 2: Post anterior chamber tap photograph showing hemorrhage superiorly and diffuse hyphema after the tap|
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|Figure 3: B scan of the right and left eye revealing a mass in the ciliary region|
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| Questions|| |
- What is the likely diagnosis?
- What is the differential diagnosis?
- What could be the cause of raised intraocular pressure in the left eye?
- What are findings on ultrasound and MRI?
- What is the line of management and workup for the patient?
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[Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]