Sequential Macular Hole Formation as a Rare Complication of Rickettsia Post Fever Retinitis.

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY Ocular Immunology and Inflammation Pub Date : 2024-12-26 DOI:10.1080/09273948.2024.2446408
Sai Bhakti Mishra, Gaurang Sehgal, Naresh Kumar Yadav, Ankush Kawali, Padmamalini Mahendradas
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Abstract

Purpose: We describe a rare complication of macular hole formation in rickettsia post-fever retinitis.

Patients and methods: Retrospective observational case report of a patient who presented with post-fever retinitis and cystoid macular edema that later progressed to a macular hole. Clinical record and multimodal imaging including fundus photography, fundus fluorescein angiography (FFA), and spectral domain optical coherence tomography (SD-OCT) were analyzed.

Results: Initial examination revealed multifocal retinitis lesions with vitritis associated with disc and macular edema, consistent with a diagnosis of post-fever retinitis. During the course of her treatment, she developed a full-thickness macular hole, complicating the management and requiring surgical intervention.

Conclusion: Continued monitoring and management are essential to address potential sequelae and ensure minimised long-term ocular morbidity in affected patients. Further reports are needed to precise and characterize this clinical relationship and its management.

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继发性黄斑裂孔形成是立克次体发热后视网膜炎的罕见并发症。
目的:我们描述一个罕见的并发症,黄斑孔形成立克次体发烧后视网膜炎。患者和方法:回顾性观察病例报告,患者表现为发热后视网膜炎和黄斑囊样水肿,后来发展为黄斑孔。对临床记录和眼底摄影、眼底荧光素血管造影(FFA)和光谱域光学相干断层扫描(SD-OCT)等多模态成像进行分析。结果:初步检查显示多灶性视网膜炎病变伴玻璃体炎伴椎间盘和黄斑水肿,符合发热后视网膜炎的诊断。在她的治疗过程中,她出现了一个全层黄斑孔,使治疗复杂化,需要手术干预。结论:持续的监测和管理对于解决潜在的后遗症和确保最小化受影响患者的长期眼部发病率至关重要。需要进一步的报告来精确和描述这种临床关系及其管理。
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来源期刊
CiteScore
6.20
自引率
15.20%
发文量
285
审稿时长
6-12 weeks
期刊介绍: Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.
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