We herein report a case of a young female presenting with multiple nodular scleral abscesses mimicking infective scleritis with exudative retinal detachment. Repeated diagnostic scraping for microbiological and histopathological analysis was inconclusive. The patient’s systemic and collagen disease work-up was non-contributory. She was treated with multiple surgical debridement and de-roofing of the abscesses along with antibiotic irrigation. Topical and oral steroid was stopped on worsening of the condition, and the patient was maintained on topical and oral antibiotics. Complete resolution of scleritis and exudative detachment was noted at 1 month follow-up and no recurrence was noted until 6 months.

Toxic endothelitis is endothelial dysfunction after topical, systemic or intraocular use of substances leading to corneal stromal edema, endothelial pigment deposits with anterior chamber reaction. Causative agents include topical Benzalkonium chloride, Chlorhexidine, Ultraviolet-A, oral amantidine and alcohol consumption. We report a rare case of 51 year old female patient with bilateral toxic endothelitis with inadvertent use of ayurvedic topical drug containing juice of Allium cepa-onion juice-1.68ml, juice of Zingiber officinale-ginger juice-1.66ml, juice of Citrus aurantifolia-lemon juice-1.66ml, honey-5.00ml, benzalkonium chloride (0.01%) and its successful management with short course of topical corticosteroids Delhi J Ophthalmol 2019;30;44-45; Doi http://dx.doi.org/10.7869/djo.478

Intracorneal haemorrhage after intravitreal injections Dastidar, Barbhaya, Vyas et al.