Prompt Diagnosis and Treatment of Presumed Viral Retinitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
PURPOSE-Viral retinitis poses a clinical challenge which often results in poor visual outcome and may involve fellow eye too, if not treated early. METHODS- Retrospective interventional non randomised case series of 9 eyes of 6 patients (bilateral in 3 patients) who had acute vision loss ranging from 6/12- 1/60. All patients presented within 10 days except 1 eye showing up at 5 months. Thorough systemic work up for retinitis were done including Polymerase Chain Reaction (PCR) of the vitreous tap. Oral antiviral on day 1 of presentation for 3-6 weeks with titrated tapering doses of oral steroids added. RESULTS- Within 3 months, retinitis resolved in all eyes. 5 eyes had 6/6 vision, 2 had 6/12 due to cataract, 1 eye had 6/24 with macular edema due to late presentation. Only 1 eye had light perception due to optic neuritis, foveal thinning and retinal detachment at 6 months. CONCLUSION- Prompt diagnosis and early treatment of viral retinits can result in dramatic improvement of final visual outcome and prevent other eye involvement.
Authors and Affiliations
Dr. Bibha Kumari
Keywords
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- EP ID EP416338
- DOI 10.9790/0853-1711081315.
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