DR. SAHITI PUTTAGUNTA

DR. RAJALINGAM VAIRAGYAM, DR. KARTHIKA NEMARUGOMMULA

Abstract

PURPOSE:

To report a rare case of unilateral Central Eales disease.

METHODS:

A 18 year old male presented with floaters in the RE since four months. Visual acuity was 6/6p in RE and 6/6 in LE. Fundus examination revealed vitreous haemorrhage and periphlebitis in the RE while LE was normal. Fundus fluorescein angiography of RE showed staining of vessels in the central retina with surrounding hyperfluorescence suggestive of leakage and periphlebitis along with multiple capillary non perfusion areas. He underwent multitude of investigations and was found positive for Mantoux test. CT chest revealed mediastinal lymphadenopathy. Based on the history, fundus examination and investigations, the diagnosis of Central Eales disease was established in the RE and panretinal photocoagulation was performed.

CONCLUSION: Unilateral Central Eales disease is an extremely rare condition seen in less than 6% of the cases. It requires meticulous evaluation before making it as a diagnosis of exclusion.