Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association

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 bilate...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2018-06, Vol.66 (6), p.866-868
Main Authors: Murugan, S, Velis, Girish, Sindal, Manavi
Format: Article
Language:English
Subjects:
Acute retinal necrosis
angle closure
Antiviral agents
Care and treatment
Case Report
Cataracts
choroidal detachment
Development and progression
Diagnosis
Diagnosis, Differential
Dosage and administration
Edema
Effusion
Encephalitis
Exudates and Transudates
Eye surgery
Fluorescein Angiography
Fundus Oculi
Gangrene
Glaucoma
Health aspects
Herpes viruses
Humans
Immunocompetence
Male
Middle Aged
Necrosis
Ophthalmology
Retina
Retinal Necrosis Syndrome, Acute - complications
Retinal Necrosis Syndrome, Acute - diagnosis
Retinitis
Steroid hormones
Steroids
Tomography, Optical Coherence
Treponema
Ultrasonic imaging
Uvea - pathology
Uveal Diseases - complications
Uveal Diseases - diagnosis
uveal effusion
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Description
Summary: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.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_954_17