dorzolamide and Eye-Pain

A 44-year-old Asian Indian woman presented with a history of pain and redness in the left eye for 3 weeks. Scleral congestion with a nodular swelling was present inferotemporally. Raised C reactive protein and positive antinuclear and perinuclear antineutrophil cytoplasmic antibodies suggested autoimmune scleritis. The patient was therefore managed with corticosteroids. Nevertheless, the development of severe pain associated with a scleral abscess led to a revised diagnosis of infectious scleritis. Corticosteroids therapy was halted and urgent debridement was performed. Microbiology confirmed fungal scleritis due to

Topics: Adrenal Cortex Hormones; Adult; Agaricales; Antifungal Agents; Diagnosis, Differential; Disease Progression; Eye Infections, Fungal; Eye Pain; Female; Humans; Scleritis; Sulfonamides; Thiophenes; Timolol