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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 861

Smoke ring aggregates in anterior chamber


Department of Ophthalmology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Date of Web Publication09-Oct-2021

Correspondence Address:
Dr. Seema Meena
Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan - 342 005
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_218_21

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How to cite this article:
Choudhary S, Meena S, Gogia S. Smoke ring aggregates in anterior chamber. Indian J Ophthalmol Case Rep 2021;1:861

How to cite this URL:
Choudhary S, Meena S, Gogia S. Smoke ring aggregates in anterior chamber. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 28];1:861. Available from: https://www.ijoreports.in/text.asp?2021/1/4/861/327724



A 5-years-old child presented with a history of trauma to the left eye with wooden-stick causing corneal laceration with iris tissue prolapse. Corneal laceration repair with iris tissue repositioning was done. Fibrin membrane over anterior lens surface, anterior chamber (AC) cells4+, and moderate flare were noted on day 1. Multiple, round, whitish aggregates with clear center, looking like rings of smoke were seen in AC [Figure 1]a. Diagnostic dilemma of fungal endophthalmitis versus inflammatory exudates arose because of peculiar aggregates. Negative KOH mount and fungal cultures of vitreous and AC-tap, anechoic B-scan ruled out fungal endophthalmitis. [Figure 1]b showing partial resolution of aggregates with topical steroids. Complete resolution occurred with topical steroids and antibiotics.[1]
Figure 1: (a) Multiple, round, whitish aggregates with clear center (red arrows) looking like rings of smoke (Smoke ring aggregates) in AC. (b) Partial resolution on Day-2

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Chronopoulos A, Ong JM, Thumann G, Schutz JS. Occult globe rupture: Diagnostic and treatment challenge. Surv Ophthalmol 2018;63:694-9.  Back to cited text no. 1
    


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