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Evaluation of posterior segment manifestations following typhoid fever-a clinical study

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Original Article

Author Details : Pavana Acharya, Lakshmi Bomalapura Ramamurthy, Kavitha Chikkanayakanahalli Venugopal, Sahana R Manip

Volume : 4, Issue : 3, Year : 2018

Article Page : 421-425

https://doi.org/10.18231/2395-1451.2018.0092

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Abstract

Aim: To describe fundus manifestations following typhoid fever and their response to systemic steroids.
Materials and Methods: A retrospective study was done on 14 patients during April 2015-Feb 2016 presenting with complaints of diminution of vision with history of typhoid fever 4-6 weeks ago. All patients underwent a detailed ophthalmic evaluation. OCT and FFA were done when considered relevant. TC/DC/ESR/ HIV and Widal tests were done. Oral prednisolone, 1mg/kg/day was given and tapered over a period of 6 weeks.
Results: 21 eyes of 14 patients presenting with visual complaints following typhoid fever were studied. At presentation, vision was <1> Conclusion: Even though a less documented entity, one can encounter non-infectious immune mediated retinitis after typhoid fever. This study highlights the need for a high index of suspicion to diagnose this condition and early institution of steroids for better visual outcome.

Keywords: Steroids, Post-febrile neuroretinitis, Typhoid, Post-typhoid retinitis, Widal titres.

How to cite : Acharya P, Ramamurthy L B, Venugopal K C, Manip S R, Evaluation of posterior segment manifestations following typhoid fever-a clinical study. Indian J Clin Exp Ophthalmol 2018;4(3):421-425

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