Abstract

CASE REPORT a 48 YR old female who initially presented to us with allergic conjunctivitis didn’t respond to usual treatment she worsened to have a large epithelial defect, later it worsened to bact kertoconjunctivitis. On checking the medications we were surprised to see the HOMIDE drops was TURBID with precipitates on lab investigation result yielded GRAM negative ECOLI. INSPITE OF BEST TREATMENT she developed secondary glaucoma and uveitis with persistent non healing epithelial defect which worsened.
She was referred to higher center where the doctor turned DETECTIVE, she got a Ph test done on all the bottles the results were beyond imagination, and the ph. was around 10-11.suggesting deliberate tampering of drops with household alkali
Subsequently she was managed by a trained nurse in a different house. Cornea healed with scarring. Later she underwent RE-Phaco with trab with ologen. Visual recovery is average she is waiting for corneal transplant. Le-needs to undergo surgery

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