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On 23.01.2011 he was referred to Rajan Eye Care Hospital at Chennai. The Complainant alongwith his wife left for Chennai on that date i.e on 23.01.2011 with a referral letter handed over to him by the opposite party. The Complainant was immediately admitted in the hospital at Chennai on the day of his arrival i.e 23.01.2011. On 24.01.2011 he underwent anterior chamber wash + parsplana vitrectomy + intravitreal antibiotics under local anesthesia. The complainant suffered immense pain and sufferings after the above surgery. On 26.01.2011 he was examined again by the Doctor of the hospital at Chennai and underwent intraocular lens removal + repeat vitrectomy + intravitreal antibiotics in his left eye under local anesthesia on 28.01.2011. He was discharged by the hospital of Chennai with a direction to come back after one week for review and as such he along with his wife left for Chennai on 08.02.2011.

The patient had undergone Phaco Surgery with implantation of foldable IQ Intraocular lens of + 22.0 diptor under Local Block. Surgery was uneventful and the patient had no complaint before leaving the hospital. On the next day i.e 21.01.2011 he had no major complaint and the visual acuity of the left eye was 16/18 part with no undue anterior chamber reaction. Patient was also prescribed to the routine post operative medicine. But on 22.01.2011, the patient came with a complaint of pain, redness and dimension of vision, suggestive of post operative Endopthalmitis. The patient was immediately taken for intravitreal vancomycin injection and other aggressive medication was suggested and thereafter there was advice to come on 23.01.2011 for follow up.

The available documents before the committee were a referral letter given by Rohin's Eye Hospital to Dr. Mohan Rajan Eye Hospital, Chennai which show diagnosis of Post-operative Endopthalmitis of left eye, lens used during surgery, Intravitreal vancomycin given and vision was Pl+PR in all quadrants of left eye were mentioned.

Comments: The dose of vancomycin and other standard medication for Endopthalmitis is not mentioned in the enclosed letter.

The findings have been confirmed with the slit-lamp examination and slit lamp photographs taken.