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Published on: August 7, 2015
Choroidal Involvement in a Case of Viral Retinitis
Pratibha Veeramani1, Ilaria Testi1,2, Rajna Rasheed1
1Uveitis Service, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Purpose:
To describe a challenging case of acute retinal necrosis.
Methods:
Clinical data, including medical history, clinical findings and imaging features were retrospectively collected in a 28-year-old female with unilateral active retinitis.
Results:
The yellowish area of retinitis surrounding a pigmented chorioretinal scar and the full thickness retinal hyper-reflectivity associated with diffuse increase in choroidal demonstrated a challenging case of necrotising retinitis, where baseline clinical and tomographic features were atypical and misleading towards a toxoplasmic aetiology. The detection of virus genome in ocular samples was necessary to achieve a correct diagnosis of acute retinal necrosis.
Conclusion:
Although rare, choroidal involvement may occur in acute retinal necrosis along with the well-known retinal features.
