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Case Reports
. 2008 Jul-Aug;56(4):329-31.

Bilateral retinitis following chikun- gunya fever

Affiliations
Case Reports

Bilateral retinitis following chikun- gunya fever

Krishna R Murthy et al. Indian J Ophthalmol. 2008 Jul-Aug.

Abstract

A 35-year-old male with a history of chikungunya fever, presented with diminution of vision in the right eye of one-week duration. His best corrected visual acuity (BCVA) was counting fingers 2 meters and 20/20 (Snellens) in the right and left eyes respectively. A diagnosis of neuroretinitis was made in the right eye while left eye showed features of retinitis. ELISA (serum) and polymerase chain reaction (aqueous) were positive for herpes simplex virus. The lesions did not show any response to antiviral or steroid treatment and appeared to be self-limiting. At five months follow-up, lesions had resolved well with BCVA of 20/120 and 20/20 in the right and left eyes respectively.

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Figures

Figure 1A
Figure 1A
Fundus photograph of the right eye showing active retinitis
Figure 1B
Figure 1B
Fundus photograph of left eye showing active retinitis
Figure 2A
Figure 2A
Fluorescein angiogram showing areas of capillary nonperfusion in the right eye
Figure 2B
Figure 2B
Fluorescein angiogram showing areas of capillary nonperfusion in the left eye
Figure 3
Figure 3
Optical coherence tomogram of the right eye showing areas of retinal destruction
Figure 4A
Figure 4A
Fundus photograph of the right eye showing progression of retinitis
Figure 4B
Figure 4B
Fundus photograph of left eye showing progression of retinitis
Figure 5
Figure 5
Fundus photograph of the right eye showing resolved retinitis

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