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A 30 years old woman was diagnosed as surgically induced diffuse scleritis following an uneventful strabismus surgery. The disease was stable with topical and systemic steroid but did not completely recover. So, immunomodulatory therapy with Oral Methotrexate was started. Keywords: Multifocal, diffuse scleritis, surgically induced, strabismus surgery

Purpose: To analyze clinical profile of the patients with scleritis in a tertiary care eye hospital in Bangladesh.Method: Retrospective analysis of 111 eyes of 79 patients of scleritis between Janu...

Sympathetic ophthalmia (SO) is a rare cause of diffuse, bilateral, granulomatous uveitis that develops after ocular trauma with uveal incarceration, which is typically penetrating and may be either...

Purpose To report the pattern of uveitis in a tertiary eye care center in Bangladesh. Methods Retrospective analysis of all uveitis cases visiting uveitis clinic of Bangladesh Eye Hospital between January, 2009 and April, 2015. Results In total, 652 patients (mean age 32.3 years, female 47.8%) were included in the study. Uveitis was bilateral in 42.6% of cases. Anterior uveitis was the most common (39.2%) case, closely followed by intermediate uveitis (22.2%), posterior uveitis (22%), and panuveitis (16.4%). Specific diagnosis was established in 53.3% of patients. The three most common specific diagnoses were ocular tuberculosis (10.7%), followed by HLA-B27-related uveitis (10.1%) and Vogt-Koyanagi-Harada disease (VKHD; 8.4%). Conclusion Ocular tuberculosis remained an important cause of uveitis in Bangladesh while HLA-B27 and VKHD were found to be the most common non-infectious uveitic entity.

Background Acute retinal necrosis is a rare but devastating ocular condition. We report two cases of acute retinal necrosis in immunocompetent patients, complicated by cystoid macular oedema and treated with intravitreal dexamethasone (OZURDEX®) implant. Results Two patients diagnosed with acute retinal necrosis were treated with intravenous acyclovir. Both of them developed cystoid macular oedema following resolution of viral retinitis. Ocular condition of the first patient was further complicated by central serous chorioretinopathy. Under unavoidable circumstances, cystoid macular oedema in both the patients was treated with intravitreal dexamethasone implant with great caution. Resolution of cystoid macular oedema without recurrence of viral retinitis was noted in the long-term follow-up. Conclusions Findings of the case report should be interpreted cautiously, and extreme caution should be exercised prior deciding the management with a corticosteroid implant in patients with viral retinitis. However, intravitreal dexamethasone implant can be a useful option in selected patients with cystoid macular oedema in acute retinal necrosis.