DR. PARTH MEHTA

Dr.ADITI AGARWAL, DR.RITIKA, Dr. JYOTIRMAY BISWAS

Abstract

Retinitis can be both inflammatory and infective in origin.We report an unusual case of acute sequential bilateral retinitis in vaccinated young girl presenting with sudden drop in left eye vision(FC1m) with retinitis lesion involving fovea.Suspecting viral retinitis,AC tap(PCR for viruses)was done and intravitreal foscarnet was injected.Oral Acyclovir and high dose steroids were started.As left eye began to stabilise,right eye started similar symptoms with vision-6/12 and retinitis lesion near posterior pole.Complete blood workup,AC tap PCR,CXR were inconclusive.Right eye was also treated as viral retinitis,but progressed to NPL.Measles retinopathy was suspected to be inciting cause based on clinical features and raised serum antibody titres(IgG>300AU/ml),but no motor symptoms and CSF analysis at this stage.MRI Brain/orbit showed optic neuritis without encephalitis.Patient is on close watch for signs of subacute sclerosing panencephalitis(SSPE)but her diagnosis remains to be a dilemma