PMC8418550_01
Presence of congestion and leukocoria in the left eye.
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fig1
Pokhara, presented with sudden onset of redness, diminution of vision, and watering in her left eye for 2 days (Figure 1) on 10th September 2019. Pokhara is the same region which is known to have many reported cases of SHAPU in every SHAPU epidemic.
Slit view of the left eye showing an exudative clump in the middle of anterior chamber along with 1 mm cream colored settled hypopyon.
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fig2
There was a clump of thick exudates floating in the middle of anterior chamber along with 1 mm cream colored settled hypopyon (Figure 2).
USG (B) scan showing multiple hyperechoic opacities in the mid and postvitreous with an attached retina.
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fig3
Echogenic impression revealed an attached retina (Figure 3).
PMC8418550_02
Diagnostic vitreous tap of the left eye showing light yellow aspirate in the syringe.
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fig4
Prior to the vitrectomy, diagnostic aqueous tap with 26 G needle and vitreous tap with 3 ml syringe was done (Figure 4).
PMC8418550_03
Occlusio pupillae with iris bombes at multiple areas in the left eye.
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fig5
But one month after the cataract surgery, she presented with painful red eye, and examination revealed occlusio pupillae with iris bombe and shallow anterior chamber in the operated eye (Figure 5).
Slit lamp view of the left eye showing relieve of iris bombe after synechiolysis but presence of postoperative inflammatory reactions in the anterior chamber.
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fig6
Next day, again under repeat general anesthesia, she underwent 360  synechiolysis with peripheral iridectomy (PI) at 2 o'clock with vitrectomy cutter (Figure 6).