Shree V. Iyer (52 yrs.) came on 26-12.1966 with a complaint of profuse discharge from the eyes. He was given silver nitrate drops and broad spectrum antibiotic ointment. The discharge subsided and the eyes were white. On 14th Jan. '67, a stye developed in the left upper lid which gradually swelled up. Ledermycin 1 capsule three time daily was administered in addition, but inspite of that there was severe oedema of lids, chemosis, and restricted movement of the eyeball which was protruding. After four days' treatment the chemosis was less and the eye lids could be opened but the patient complained of gross diminution of vision (only perception of hand movements). The movements of the eyes were restored. The eyes became also apparently normal. Fundus examination revealed frank blood in the vitreous which even after six months now has not yet cleared up. The vision is still only hand movements. Tension was normal throughout. Vision and fundus of the other eye were normal.
Investigations
B.P. 130/81.
Hoemoglobin-95 % .
R.B.C. count 4.8 million/c. mm.
W.B.C. count-7400/c. mm.
E.S.R.-1/2 hr.-5 mm.
1 hr.-12 mm.
Blood film for microfilaria-Negative.
Urine-Sugar and Albumin-Nil.
Bleeding and coagulation time-Normal.
Treatment
1. Calcium gluconate with Vitamin C. 1 amp. daily.
2. Styptovit tabs. and styptochrome inj. I.M. daily.
This case is interesting because vitreous hemorrhage followed immediately after the orbital cellulitis. Evidently, the cellulitis has caused thrombosis with rupture of the central retinal vein and its branches to produce a vitreous haemorrhage.
.png "Santen")
Search Pubmed for