ACUTE BILATERAL VIRAL NECROTIZING RETINITIS: AN UNCOMMON CASE REPORT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 35
Abstract
A 22 year old male with a history of high grade fever 2 days, diarrhea 3 times and vomiting 2 times presented with diminution of vision in right eye of 1 days duration. His best corrected visual acuity (BCVA) was counting finger 1 meter with no pin hole improvement and 20/20 (Snellen’s) in the right and left eye respectively. Fundus examination RE revealed white lesion in geographic fashion with clear edge involving macula and in left eye small peanut size white lesion present at paramacular area. Clinically a diagnosis of acute necrotizing was made. We started treatment by intra venous antiviral and systemic steroid. ELISA (serum) and PCR (aqueous) were positive for herpes simplex virus (Index above 1.1 i.e. 1.54). 1,2 The lesions showed a good response to the above treatment. At 2 months follow-up, lesion had resolved well with BCVA of 20/40 and 20/20 in right and left eye respectively.
Authors and Affiliations
Rajendra Ku. Behera, Mahapatro R. C, Behera J. P, Altawab Bassel, Bal M. K.
Keywords
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- EP ID EP231936
- DOI 10.18410/jebmh/2015/769
- Views 72
- Downloads 0
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