Dr. Eliza Anthony, A14799, Dr. Jyotirmay Biswas
PURPOSE: To report management of a case treated as viral retinitis based on clinical suspicion.
METHOD: Case report.
RESULT: 25 year old male complained of sudden diminution of vision in both eyes since 1 month.Elsewhere treated with intravenous antivirals and steroids. Best corrected visual acuity(BCVA) in right eye was 6/24 and left eye was 1/60.Bilaterally vitritis with subretinal hemorrhages and retinitis noted in both eyes.Optical coherence tomography showed bilateral thinning of retina. Flourescein angiography revealed activity in both eyes.Oral valacylovir and steroids were started.PCR aqueous humour was negative for all common viruses.At 1 year review BCVA improved to 6/18 in right eye and 3/60 in left eye. Bilateral disc pallor and resolved retinitis with vitritis noted in left eye.Oral steroids again increased to along with antivirals.3 months review is awaited.
CONCLUSIONS:Evidence based medicine is important but clinical diagnosis plays a very crucial role in management.