Retinal cases & brief reports · 2025
Rickettsial Post Fever Retinitis leading to sequential macular hole - a rare clinical trajectory.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Verghese Shishir, Subash Geethu, Joseph Verghese, Verghese Amita
Аннотация
PURPOSE: To report a case of full thickness macular hole (FTMH) formation as a rare sequelae in Rickettsial post fever retinitis (PFR).
METHODS: We report a case of PFR and cystoid macular edema (CME) in both eyes with one eye eventually progressing to form a macular hole. Clinical record and serial multimodal imaging including colour fundus photography, spectral domain optical coherence tomography (SD-OCT) and OCT angiography (OCTA) were analyzed.
RESULTS: A 65- year old gentleman presenting with reduction in vision in both eyes was diagnosed with bilateral Rickettsial PFR with multifocal lesions at the posterior pole along with vitritis and CME. During the course of his treatment he developed a FTMH in one eye and the other eye recovered vision.
CONCLUSION: Meticulous follow-up and personalized treatment are pivotal for optimizing outcomes and preventing vision loss. Broader case documentation will be key to advancing clinical management for this unusual complication in Rickettsial PFR.
METHODS: We report a case of PFR and cystoid macular edema (CME) in both eyes with one eye eventually progressing to form a macular hole. Clinical record and serial multimodal imaging including colour fundus photography, spectral domain optical coherence tomography (SD-OCT) and OCT angiography (OCTA) were analyzed.
RESULTS: A 65- year old gentleman presenting with reduction in vision in both eyes was diagnosed with bilateral Rickettsial PFR with multifocal lesions at the posterior pole along with vitritis and CME. During the course of his treatment he developed a FTMH in one eye and the other eye recovered vision.
CONCLUSION: Meticulous follow-up and personalized treatment are pivotal for optimizing outcomes and preventing vision loss. Broader case documentation will be key to advancing clinical management for this unusual complication in Rickettsial PFR.