title: Ocular manifestations in porphyria cutanea tarda.
abstract: A 24-year-old man presented with pain, sticky discharge and loss of vision in the right eye. He has had typical skin manifestations of porphyria cutanea tarda (PCT) since 6 years and ophthalmological symptom for 6 weeks. On ophthalmological examination, visual acuity was light perception in the right eye and 6/12 in the left. There were bilateral, symmetrical temporal scleromalacia along with temporal corneal melting in both eyes and perforation in the right eye. Ultrasonography B-scan (USG B-scan) revealed a retinal detachment in the right eye. Artificial tear instillation was started every hour along with topical antibiotic coverage in both eyes. Additionally, ultraviolet protective sunglasses and hat for photo-protection was advised. The vision in the right eye improved to 5/60 along with subsidence of retinal detachment on repeat USG B-scan after 3 weeks.
authors.affiliation: Department of Ophthalmology, Pravara Institute of Medical Sciences, Loni, Maharashtra, India.
authors.forename: Pratik Yeshwant
authors.initials: PY
authors.lastname: Gogri
authors.forename: Neeta Somen
authors.initials: NS
authors.lastname: Misra
authors.forename: Somen
authors.initials: S
authors.lastname: Misra
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D057112:Corneal Perforation / Q000209:etiology; D003937:Diagnosis, Differential; D005123:Eye / Q000378:metabolism*; D058447:Eye Pain / Q000209:etiology* / Q000628:therapy; D005135:Eye Protective Devices; D006801:Humans; D065346:Lubricant Eye Drops; D008297:Male; D017119:Porphyria Cutanea Tarda / Q000150:complications* / Q000175:diagnosis*; D011481:Protective Clothing; D012163:Retinal Detachment / Q000000981:diagnostic imaging / Q000209:etiology; D015422:Scleral Diseases / Q000209:etiology; D014463:Ultrasonography; D015354:Vision, Low / Q000209:etiology* / Q000628:therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D065346:Lubricant Eye Drops