The COVID 19 pandemic has brought about a change in the lifestyle of one and all with the healthcare workers being no exception. The objective of this review is to discuss the problems faced during the COVID19 pandemic especially by the ophthalmological community owing to the close contact with the patient during examination which is inevitable. The text has been written after a thorough literature search of articles on Pubmed using relevant keywords. It discusses and brings forth the ways of ophthalmological practices to minimize the risk of exposure being followed across the world as laid down by the ophthalmological societies of various countries and regions. The importance of social distancing and the role of tele-ophthalmology which formed the cornerstone of treatment during this hour of crisis has also been discussed.

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Endogenous endophthalmitis complicated by necrotising scleritis has rarely been reported in the literature. We, hereby, report a case of bilateral scleral perforation with endogenous endophthalmitis in an 87-year-old female patient with diabetes who presented as bilateral orbital cellulitis. Systemic workup ruled out autoimmune aetiology. The culture and sensitivity of exudates exuding from the scleral perforation showed Escherichia coli. The Patient was managed conservatively with parenteral and topical antibiotics along with steroid, but the vision could not be salvaged. The report emphasizes on atypical presentation of endogenous endophthalmitis. In old and immunosuppressed individuals presenting with a clinical picture of bilateral orbital cellulitis with profound vision loss, endogenous endophthalmitis should be ruled out.