Dr.Amit Jain, J15234
A 16 year old female with recent history of typhoid fever (Widal +) and rashes over body came with bilateral diminution of vision, best corrected visual acuity (BCVA) was 2/60. Fundus showed pale disc with patch of vasculitis and retinitis in the macular area along with macular edema, confirmed on OCT. FFA confirmed the diagnosis of PPRMA. Oral steroids (1 mg/kg/day) course showed significant clinical improvement in right eye (OD BCVA-6/21). At 3 months, neovascularisation with vitreous haemorrhage was noted. Panretinal photocoagulation was done. A month later, florid neovascularisation and tractional retinal detachment was noted in OD. Pre-operative Anti-VEGF followed by OD Vitrectomy with endolaser and silicon oil tamponade was done. Followup at 6 weeks showed good clinical recovery with BCVA of 6/24. Conclusion: The report highlights unusual presentation of neovascularisation in PPRMA despite prolonged steroids course and good prognosis with timely surgical intervention
Leave a Comment