Indian Journal of Ophthalmology

CASE REPORT
Year
: 2018  |  Volume : 66  |  Issue : 6  |  Page : 866--868

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


S Bala Murugan, Girish Bharat Velis, Manavi D Sindal 
 Department of Uvea and Vitreo Retina, Aravind Eye Hospital, Puducherry, India

Correspondence Address:
Dr. Girish Bharat Velis
Aravind Eye Hospital, Puducherry
India

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.


How to cite this article:
Murugan S B, Velis GB, Sindal MD. Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association.Indian J Ophthalmol 2018;66:866-868


How to cite this URL:
Murugan S B, Velis GB, Sindal MD. Bilateral acute retinal necrosis associated with bilateral uveal effusion in an immunocompetent patient: A challenging association. Indian J Ophthalmol [serial online] 2018 [cited 2020 Jul 15 ];66:866-868
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=6;spage=866;epage=868;aulast=Murugan;type=0