Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association
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Date
2018-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
Bilateral uveal effusion syndrome associated with bilateral acute retinal necrosis is a diagnostic and therapeutic challenge. A 52 year old man presented with bilateral angle closure with choroidal detachment. With restricted fundus view, parenteral steroid was started. During close follow up bilateral discrete areas of peripheral retinitis were noted. Parenteral steroids were promptly stopped and parenteral antivirals with oral steroids were continued. It showed healing response with nil recurrences till last follow up. Aggressive treatment of bilateral uveal effusion with parenteral steroids can cause progression of bilateral acute retinal necrosis leading to phthisis bulbi. However early diagnosis, prompt intervention and close follow up are the key elements to therapeutic success even during diagnostic surprises and avoid costly mistakes.
Description
Keywords
Acute retinal necrosis, angle closure, choroidal detachment, uveal effusion
Citation
Murugan SB, Velis GB, Sindal MD. Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association. Indian Journal of Ophthalmology. 2018 Jun; 66(6): 866-868