DR. PRIYANKA GANDHI

DR.RESHMA RAMAKRISHNAN, DR. SAYALI AMBERKAR

Abstract

TORCH infections have variable clinical presentation and are caused by various organisms. Transmission of the pathogens may occur prenatally or perinatally.A 29 y/F came with chief complaint of sudden and painless diminution of vision in RE since 2 months when she was pregenant. She gave history of intrauterine fetal death one month back. Distant visual acuity was 6/36 → 6/18 in RE and 6/36 → 6/9p in LE. Posterior segment examination revealed vitritis, resolving subhyaloid bleed anterior to macula, yellowish exudative active patch suggestive of infective etiology near inferior arcade with exudates at macula and early macular star in RE. Labs showed reactive Toxoplasma IgG and IgM, CMV IgG reactive and HSV 1 and 2 IgG positive. Patient was started on triple therapy. At follow up, posterior segment of RE revealed the subhyaloid bleed and active patch had resolved. Therefore, TCH infections should be ruled out in a reproductive aged female presenting with unilateral blurring of vision.