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Uveal Effusion Associated with Presumed Viral Encephalitis
Dong Hyun Lee1, Tae Young Kim1, Sung Chul Lee2
1Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Ocular Immunology and Inflammation
|August 21, 2020
Summary
Uveal effusion, a rare condition, can occur with viral encephalitis. This case shows successful treatment with corticosteroids and antiviral medication, resolving choroidal detachment.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Uveal effusion syndrome is characterized by exudative detachment of the ciliary body and choroid.
- It is a rare condition with various potential underlying causes.
- Association with viral encephalitis is uncommon but documented.
Observation:
- A 67-year-old male patient presented with uveal effusion and choroidal detachment.
- The patient had a recent history of herpes zoster ophthalmicus and was hospitalized for viral encephalitis.
- Clinical examination revealed detachment between the ciliary body and sclera.
Findings:
- The patient received oral and topical corticosteroids and cycloplegics for uveal effusion.
- Antiviral therapy (Acyclovir) was administered for the concurrent viral encephalitis.
- Complete resolution of choroidal detachment was observed after four weeks of treatment.
Implications:
- Viral encephalitis can be an associated condition with uveal effusion syndrome.
- Medical management, including corticosteroids, is effective in treating this condition.
- Non-surgical treatment should be considered as a primary approach before surgical intervention.
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