Uveal Effusion Associated with Presumed Viral Encephalitis

ABSTRACT

Background

Uveal effusion is a rare disease that is characterized by exudative detachment of the ciliary body and choroid. Herein, we report a rare case of uveal effusion associated with viral encephalitis, which resolved following the treatment of the viral encephalitis and administration of corticosteroids.

Case presentation

A 67-year-old man who was hospitalized for viral encephalitis was referred to our clinic. He had been treated for herpes zoster ophthalmicus in his left eye 3 weeks previously. Choroidal detachment and uveal effusion between the ciliary body and sclera were observed. He was prescribed oral and topical steroids and cycloplegics to treat uveal effusion, and an antiviral agent (Acyclovir) to treat viral encephalitis. After 4 weeks, the choroidal detachment resolved completely.

Conclusions

Uveal effusion syndrome can develop in association with viral encephalitis and be treated successfully with oral and topical steroids; we suggest that medical treatment should be attempted prior to surgery.

Abbreviations

ADEM: Acute disseminated encephalomyelitis; BCVA: Best corrected visual acuity; CSF: Cerebrospinal fluid; CT: Computed tomography; MRI: Magnetic resonance imaging; WBC: White blood cell

KEYWORDS:

• Choroidal detachment
• corticosteroid
• serous retinal detachment
• uveal effusion syndrome
• viral encephalitis

Authors’ Contributions

DHL, SCL, and MK developed the study concept and design, as well as analyzed and interpreted the data. DHL and TYK participated in data collection. DHL and MK drafted the manuscript. DHL, TYK, and MK critically revised the manuscript. MK supervised the study. All authors read and approved the final manuscript.

Declaration of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Consent for Publication

Written informed consent was obtained from the patient for publication of this paper and any accompanying images. A copy of the written consent form is available for review by the Editor of this journal upon request.

Data Availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Ethics Approval and Consent to Participate

This study followed the tenets of the Declaration of Helsinki and was approved by the ethics committee of Gangnam Severance Hospital (Institutional Review Board No. 3-2019-0430) Informed consent was obtained from the patient.