DR. ROHIT BHANOT

DR. ASHOK KUMAR, DR.(MAJ) SHANKAR SANDEEP, DR. JAYA KAUSHIK

Abstract

Purpose: To report an unusual presentation with kyrieleis-like plaques in a patient of ocular Behcet’s disease.

Case presentation: A 28-year old male presented with blurring of vision in left with fundus examination revealing focal segmental intra-arterial plaques involving all branches of retinal artery characteristics of kyrieleis-like plaques with no features of retinitis in retinal periphery and mild vitritis. All routine investigations were normal and tested positive for HLA-B51, diagnosed as case of ocular Behcet’s disease and managed with oral steroids and immunosuppressive agents.

Results: Patient had a good recovery of vision with substantial resolution of intra-arterial plaques.

Conclusion: Ocular Bechet’s disease can present with uncommon features of kyrieleis-like plaques. Ophthalmologists need to be vigilant for presence of such potential ocular manifestations as the likely initial presentation in order to obtain early diagnosis and initiate timely management.