DR. PARKAVI PONNUSAMY

Dr. SARAVANAN JOTHI

Abstract

A 37year female came with complaints of defective vision in right eye for 3 weeks. On examination BCVA – RE6/24, LE6/6; BE Anterior segment normal.Fundus:RE-mild disc edema with peripapillary subretinal exudates extending upto macula ;LE- normal.FFA RE- multiple pin point leak at RPE Level in mid phase with pooling of dye in areas of serous retinal detachment in late phase. OCT shows multiple serous detachment in peripapillary area involving macula. No history of ocular trauma/intraocular surgery/chronic drug intake. No systemic association. Laboratory investigations-within normal limit. Diagnosed clinically as RE Unilateral Atypical Vogt Koyanagi Harada Syndrome. Patient was started on IVMP followed by oral steroid. At 2 weeks followup- RE fundus shows reduction in serous detachment with vision improved to 6/12 and continued with tapered dose of steroids. After 2weeks followup -total reduction of serous detachment with vison improved to 6/6 in RE.