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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=6;spage=866;epage=868;aulast=Murugan |
| _version_ | 1818981164212289536 |
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| author | S Bala Murugan Girish Bharat Velis Manavi D Sindal |
| author_facet | S Bala Murugan Girish Bharat Velis Manavi D Sindal |
| author_sort | S Bala Murugan |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T17:26:58Z |
| format | Article |
| id | doaj.art-00f64d67d06046a4ab1f0353db80be9a |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-20T17:26:58Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-00f64d67d06046a4ab1f0353db80be9a2022-12-21T19:31:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892018-01-0166686686810.4103/ijo.IJO_954_17Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging associationS Bala MuruganGirish Bharat VelisManavi D SindalBilateral 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=6;spage=866;epage=868;aulast=MuruganAcute retinal necrosisangle closurechoroidal detachmentuveal effusion |
| spellingShingle | S Bala Murugan Girish Bharat Velis Manavi D Sindal Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association Indian Journal of Ophthalmology Acute retinal necrosis angle closure choroidal detachment uveal effusion |
| title | Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association |
| title_full | Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association |
| title_fullStr | Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association |
| title_full_unstemmed | Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association |
| title_short | Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association |
| title_sort | bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient a challenging association |
| topic | Acute retinal necrosis angle closure choroidal detachment uveal effusion |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=6;spage=866;epage=868;aulast=Murugan |
| work_keys_str_mv | AT sbalamurugan bilateralacuteretinalnecrosisassociatedwithbilateraluvealeffusioninanimmunocompetentpatientachallengingassociation AT girishbharatvelis bilateralacuteretinalnecrosisassociatedwithbilateraluvealeffusioninanimmunocompetentpatientachallengingassociation AT manavidsindal bilateralacuteretinalnecrosisassociatedwithbilateraluvealeffusioninanimmunocompetentpatientachallengingassociation |