Abstract

Occupational exposure to pesticides occurring due to lack of personal protection, using high concentrations, spraying against wind and accidental ingestion.A 42 Year old male presented to Ophthal opd at RL Jalappa Hospital with complaints of sudden diminution of vision in RE for 3days,after fall of Ectoparasticide(DELTAMETHRIN1.25%) in RE. Uncorrected visual acuity in RE: counting fingers at 1/2metre,LE:6/6. Anterior segment evaluation showed RE and LE within normal limits. Pupils were 3mmRRRL in OU. Both eye fundus were evaluated using indirect ophthalmoscopy- OD C:D:0.5,A:V 2:3 with subretinal fluid accumulation in macula,OS C:D 0.7 A:V 2:3 with dull fovea reflex .Diagnosis of RE central serous chorioretinopathy was made using OCT. Patient was treated with topical nepafenac eye drops BD and observed for a period of 3 months.Visual acuity improved to 6/60 with resolution of sub retinal fluid .