DR. NEHA SHAH

DR. PURVA VALVEKAR, DR.SAROJ SAHDEV, DR. SANCHIT BHALGAT

Abstract

A 36 year old lady presented with pain in the RE. RE had active chorioretinitis (serpiginous) LE had scarred lesions. Visual acuity 6/9 in both eyes. A previous history of similar episode in the LE 5 years back treated with suprachoroidal triamcinolone actetate was given. We started AKT, oral steroids (tapering), sub tenon triamcinolone acetate was given. Systemic evaluation WNL. 8 weeks later she presented with blurring of vision in the RE. Vision dropped to CF 2mts in the RE. Anterior segment was quiet with a clear lens. Vitreous cells were 2+, papillitis with inferior exudative RD with sub retinal exudates. 3 doses of IVMP was given. In 1 week the RD settled disc oedema resolved. Vision improved to 6/9.

Why the case of noninfective chorioretinitis worsened under oral steroids? and responded to IV steroids? Was it the AKT drugs that caused the aggravation of the condition? The cause of recurrence after 3 years in the other eye? Many mysteries that remain unsolved in this case!