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 Table of Contents    
CLINICAL QUIZ
Year : 2019  |  Volume : 12  |  Issue : 3  |  Page : 206-207  

The black eye


Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication11-Oct-2019

Correspondence Address:
Dr. Jagat Ram
Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_174_2018

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How to cite this article:
Singh SR, Yangzes S, Ram J. The black eye. Oman J Ophthalmol 2019;12:206-7

How to cite this URL:
Singh SR, Yangzes S, Ram J. The black eye. Oman J Ophthalmol [serial online] 2019 [cited 2019 Nov 16];12:206-7. Available from: http://www.ojoonline.org/text.asp?2019/12/3/206/268910




   Case Presentation Top


A 25-year-old female presented with itching in the left eye. She was referred as a case of fungal corneal ulcer and was on treatment for the same. There was a history of trauma to left eye 10 years ago and she had undergone an ocular surgery 5 years ago, but details of procedure were not available. On examination, the visual acuity in the right eye was 6/6 while the left eye had no perception of light. In the left eye, the lids and adnexa were normal with presence of diffuse blackish pigmentation over the cornea admixed with multiple yellowish deposits [Figure 1]. Anterior-chamber details were not visible. Posterior segment could not be evaluated. The right eye was grossly within normal limits.
Figure 1: Anterior-segment photograph of left eye showing a visibly quiet eye with blackish pigmentation of cornea with multiple yellowish deposits

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   Questions Top


  1. What is the diagnosis?


    1. Fungal corneal ulcer
    2. Chemical injury
    3. Corneal tattoo
    4. Blast injury with retained intracorneal foreign bodies.


  2. What is the next investigation you would like to order next?


    1. Corneal scrapping
    2. Ultrasound B-scan
    3. Computed tomographic orbit to rule out foreign body
    4. Anterior-segment optical coherence tomography.


  3. What is the next plan of management in this patient?


    1. Start antifungal medication
    2. Give copious saline wash
    3. Prescribe lubricating eye drops
    4. Optical keratoplasty.








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    Figures

  [Figure 1]



 

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