Chikungunya virus iridocyclitis in Fuchs' heterochromic iridocyclitis.
We are reporting a case of bilateral Fuchs' heterochromic iridocyclitis with chikungunya virus infection in the left eye. A 20-year-old female was presented with a past history of fever suggestive of chikungunya with bilateral Fuchs' heterochromic iridocyclitis and complicated cataract. She had a tripod dendritic pattern of keratic precipitates by confocal microscopy in the left eye with a stippled pattern of keratic precipitates in both eyes. The real-time polymerase chain reaction (RT-PCR) assay in the aqueous humor detected 98 copies/ml of chikungunya virus RNA. The patient underwent clear corneal phacoemulsification with in-the-bag intraocular lens implantation in the left eye with a good visual outcome. This is the first report where the presence of chikungunya virus RNA has been associated with a case of bilateral Fuchs' heterochromic iridocyclitis.
Uveitis and Ocular Immunology Services, Narayana Nethralaya, Superspeciality Eye Hospital and Post Graduate Institute of Ophthalmology, 121/C, Chord Road, Rajajinagar, 1st R Block, Bangalore - 560 010, Karnataka, India. m.padmamalini@gmail.com
Padmamalini
P
Mahendradas
Rohit
R
Shetty
J
J
Malathi
H N
HN
Madhavan
D000328:Adult; D018354:Alphavirus Infections / Q000175:diagnosis / Q000473:pathology*; D002646:Chikungunya virus; D005260:Female; D006801:Humans; D015863:Iridocyclitis / Q000175:diagnosis / Q000473:pathology / Q000821:virology*; D016133:Polymerase Chain Reaction; D055815:Young Adult