Dr.N V A M S J Shivani Matta

Dr.Sahana Mummaneni, Dr.Durga Chaitanya Kakkera, Dr.K. Anjaneyulu

Abstract

STUDY DESIGN- Case Report
METHODS- Visual acuity assesment,Slit lamp examination, Fundus examination, B-scan were done.
RESULTS- A 48-year-old male patient was referred to the ophthalmology department in view of pain and diminision of vision in both eyes. He had no perception of light in both eyes while his extraocular movements were full, free in all gazes. Upon ophthalmic examination of both eyes, mild edema of the eyelids was observed, while the conjunctiva appeared quiet and the cornea was clear. The pupil was mid-dilated and unresponsive to light stimulation, and the lens was clear. Fundus examination revealed hazy media, pale optic disc, sclerosed vessels, absence of retinal sheen and multiple subretinal haemorrhages and avascular areas were noted in all quadrants of both eyes. B-scan of both eyes showed multiple echogenic points in the vitreous.
CONCLUSION- Patient was diagnosed with HSV encephalitis complicated by acute retinal necrosis in both eyes.