for 2 months. The patient had a history of a fall near a sewer with resultant injury with plant material to his left eye. The patient consulted local practitioners and used prescribed topical medications, details of which he could not express. However he had no relief with the medications. The patient did not have any history of diabetes mellitus, hypertension, or any other major medical or surgical illness in the past.On examination, the left eye revealed an edematous lid with circumcorneal congestion of the conjunctiva. The cornea showed a central ulcer, which was 5 × 4 mm in size with stromal infiltrates in the inferotemporal quadrant. When first seen, the patient had a minimal hypopyon [Figure 1]. A dense immune ring was seen on the cornea away from the edge of the ulcer. The anterior chamber was clear and the pupil and lens appeared normal. The fundus could not be visualized due to haziness in the media. The vision of the patient was considerably reduced to hand movements and finger counting. The x-ray of the orbit revealed no bony infiltration.
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