Abstract

A 70-year-old male presented with a history of redness and pain in the Left eye for 3 days. Systemic history revealed long-standing diabetes mellitus, history of COVID-19 infection and subsequent vaccination, Pyrexia of unknown origin which was treated with ATT, and a recent onset of axillary swelling. BCVA in RE was 6/6 and 6/24 in LE. Slit Lamp evaluation of the Left eye revealed circumcorneal congestion, 2 mm flat hypopyon, AC cells of 4+ and Flare 2+ with broad-based posterior synechiae and a granuloma-like mass resembling a fungal colony over the iris. B scan revealed few dot echoes. Systemic investigations were within normal limits. But however, given the systemic status and the anterior segment findings we proceeded with aqueous sampling. Gram stain and KOH were negative for organisms, and bacterial and fungal cultures were negative. AC wash and removal of the iris granuloma were negative for cultures following which inflammation subsided with topical steroids.