Abstract

A 53-year-old male presented to our centre complaining of sudden onset of headache and decreased vision in the right eye for 1 month. Patient had history of injury with an iron wire at the work place for which patient under went for right eye scleral tear repair with Pars Plana Vitrectomy. On examination, the visual acuity was hand movements and 6/24 in the right eye and the left eye, respectively. On Goldman applanation tonometry intraocular pressure was 45 mmHg in right eye and 10 mmHg in left eye. Anterior segment examination of right eye revealed circumcorneal congestion, 360 degree of iridocorneal apposition, flat anterior chamber with iris bombe and pupillary membrane formation. The patient was diagnosed with right eye secondary angle closure with pupillary block due to silicone oil. Laser peripheral iridotomy was performed which led to the egress of silicone oil through the peripheral iridotomy into the anterior chamber, relieving the iridocorneal apposition.