Bilateral retinitis following chikun- gunya fever.
A 35-year-old male with a history of chikungunya fever, presented with diminution of vision in the right eye of one-week duration. His best corrected visual acuity (BCVA) was counting fingers 2 meters and 20/20 (Snellens) in the right and left eyes respectively. A diagnosis of neuroretinitis was made in the right eye while left eye showed features of retinitis. ELISA (serum) and polymerase chain reaction (aqueous) were positive for herpes simplex virus. The lesions did not show any response to antiviral or steroid treatment and appeared to be self-limiting. At five months follow-up, lesions had resolved well with BCVA of 20/120 and 20/20 in the right and left eyes respectively.
Murthy
Krishna R
KR
Vittala International Institute of Ophthalmology and Prabha Eye Clinic and Research Center, Bangalore, Karnataka, India.
Venkataraman
Nandita
N
Satish
Vidya
V
Babu
Kalpana
K
D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D018354:Alphavirus Infections / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D002646:Chikungunya virus / Q000302:isolation & purification*; D004359:Drug Therapy, Combination; D004797:Enzyme-Linked Immunosorbent Assay; D015828:Eye Infections, Viral / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D005451:Fluorescein Angiography; D007839:Functional Laterality; D015774:Ganciclovir / Q000627:therapeutic use; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D016133:Polymerase Chain Reaction; D012173:Retinitis / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D041623:Tomography, Optical Coherence
D005938:Glucocorticoids; D015774:Ganciclovir; D000212:Acyclovir