Indian Journal of Clinical and Experimental Ophthalmology
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2395-1443
Online ISSN: 2395-1451
CODEN : IJCEKF
Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...Case Report
Author Details :
Volume : 10, Issue : 4, Year : 2024
Article Page : 813-815
https://doi.org/10.18231/j.ijceo.2024.141
Abstract
We report a rare manifestation of herpetic viral retinitis and encephalitis in a patient with reactivation of pulmonary aspergillosis eventually progressing to involve the eye causing choroidal infiltration. Ocular features can have widespread involvement and can affect vision. An 89-year-old male patient presented with fever, defective vision, difficulty in walking with involuntary movements in the right side of his body and history of treatment for pulmonary aspergillosis. Computed tomography Scanogram showed a bronchiectatic cavity with extensive fibrosis, few parenchymal calcific specks and adjacent pleural thickening.Ophthalmic examination showed pseudophakia in both eyes with nasal pterygium in the right eye. Fundus evaluation in both eyes showed pale optic disc, circumferential retinal infiltrates at the posterior pole and periphery, vitritis and patchy sheathing along arteries. A provisional diagnosis of herpetic retinitis was made and he was advised to continue intravenous acyclovir. On review after 24 hours, fundus showed creamy choroidal patches suggestive of aspergillus endophthalmitis and a combined aetiology for the retinitis was considered. On the third review the vitritis appeared to be settling with better definition of retinitis but his systemic status continued to deteriorate. A clinical suspicion and holistic approach in such patients will improve both ocular and systemic status.
Keywords: Ocular, Herpetic, Encephalitis, Pulmonary aspergillosis, Acute retinal necrosis (ARN).
How to cite : Cyriac R V, Annamalai R, Narasimhan R L, Multiple and simultaneous manifestation of ocular inflammation in neurological disease. Indian J Clin Exp Ophthalmol 2024;10(4):813-815
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