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RETINAL VASCULITIS ASSOCIATED WITH EPSTEIN-BARR VIRUS INFECTION, A CASE REPORT
Andi A Victor1,2, Nanang Sukmana3
1Vitreo-Retinal Division, Department of Ophthalmology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
Epstein-Barr virus infection can cause retinal vasculitis, presenting as blurry vision and a frosted branch-like appearance on funduscopy. Prompt treatment with antivirals and steroids resolved the condition, suggesting EBV as a potential cause.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Virology
Background:
- Retinal vasculitis is an inflammatory condition affecting the blood vessels of the retina.
- Epstein-Barr virus (EBV) is a common human herpesvirus with diverse clinical manifestations.
Observation:
- A 26-year-old woman presented with acute blurry vision.
- Funduscopic examination revealed retinal vasculitis characterized by a distinctive frosted branch-like appearance.
- Polymerase chain reaction (PCR) testing confirmed the presence of Epstein-Barr virus antibodies in circulation.
Findings:
- The patient received a diagnosis of retinal vasculitis attributed to Epstein-Barr virus infection.
- Treatment involved systemic acyclovir and topical corticosteroids.
- Clinical manifestations resolved completely within two months of treatment initiation.
Implications:
- Epstein-Barr virus should be considered in the differential diagnosis of retinal vasculitis, particularly with similar clinical presentations.
- This case highlights the potential ocular manifestations of Epstein-Barr virus infection.
- Early diagnosis and appropriate antiviral and anti-inflammatory treatment are crucial for managing EBV-associated retinal vasculitis.
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