Indian Journal of Ophthalmology (Jan 2013)
Serpiginous choroiditis and acute retinal necrosis occurring in the same patient
- Aditi Gupta,
- Jyotirmay Biswas
Affiliations
- Aditi Gupta
- Jyotirmay Biswas
- DOI
- https://doi.org/10.4103/0301-4738.99991
- Journal volume & issue
-
Vol. 61,
no. 6
pp. 303 – 304
Abstract
We describe a rare association of serpiginous choroiditis with necrotizing retinitis having clinical features of acute retinal necrosis (ARN). A 23-year-old male developed ARN in the fellow eye while he was on tapering doses of immunosuppressive medications for unilateral serpiginous choroiditis. The association may represent a common viral etiology of the two diseases or may be due to the development of ARN due to general state of iatrogenic immunosuppression. This report also highlights the importance of a detailed evaluation of both the eyes on regular follow-up visits in the patients receiving iatrogenic immunosuppression.
Keywords
- Algorithmic approach
- differential diagnosis
- naming and meshing
- uveitis
- Uveitis; imaging; fluorescein angiography; optical coherence tomography
- Angiotensin converting enzyme
- antitoxoplasma antibody
- laboratory test
- tuberculin test
- Corticosteroids
- immunosuppressives
- medical management
- uveitis
- Cataract surgery in uveitis
- glaucoma surgery in uveitis
- vitrectomy in uveitis
- Sarcoidosis
- choroidal nodules
- uveitis
- Central India
- conjunctivitis
- Oestrus ovis
- Ophthalmomyiasis
- Acute retinal necrosis
- ocular toxoplasmosis
- polymerase chain reaction
- scleritis
- Magnetic resonance imaging
- ocular dirofilariasis
- ultrasound
- Acanthamoeba
- Acanthamoeba sclerokeratitis
- granulomatous inflammation
- immunosuppressive agents
- T cells
- Acute retinal necrosis
- immunosuppression
- serpiginous choroiditis
