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Case Reports
. 2020 Jun;68(6):1204-1206.
doi: 10.4103/ijo.IJO_1418_19.

Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report

Himabindu Adusumilli  1 , Lakshmi Krupa  2 , Nitin S Shetty  2 , Sanjiv Rao  3
Affiliations
Case Reports

Bilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report

Himabindu Adusumilli et al. Indian J Ophthalmol. 2020 Jun.

Abstract

To report an unusual case of a 71-year-old livestock farmer with systemic brucellosis and ocular involvement. Examination showed vitreous haze with bilateral serous choroidal detachment. He was treated with topical antibiotics and corticosteroids, Tab rifampicin 600 mg and doxycycline 100 mg for 6 weeks with visual recovery and complete resolution of serous choroidal detachment in 2 weeks. This is the first case of bilateral serous choroidal detachment in a case of systemic brucellosis. Immune-mediated complex and direct microbial invasion of uveal tissue leading to serous choroidal detachment is the proposed pathogenesis that responds well to topical corticosteroids.

Keywords: Brucellosis; doxycycline; serous choroidal detachment.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
(a and b) Fundus photographs of right and left eye posterior pole, disc, and macula, respectively showing vitreous haze. (c) Fundus photograph of a temporal quadrant of the right eye showing shallow serous choroidal detachment (black arrows)
Figure 2
Figure 2
(a) Showing optical coherence tomography of the right eye showing good foveal contour and absence of cystoid edema. (b) Showing left eye good foveal contour, focal loss of inner segment-outer segment line in the nasal parafoveal area and absence of cystoid edema
Figure 3
Figure 3
(a and b) Fundus photography pictures of the right and left eye showing clear media, normal disc, and the periphery with resolved vitreous haze and choroidal detachment
See this image and copyright information in PMC

References

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