Choroidal Involvement in a Case of Viral Retinitis

ABSTRACT

Purpose

To describe a challenging case of acute retinal necrosis.

Methods

Clinical data, including medical history, clinical findings and imaging features were retrospectively collected in a 28-year-old female with unilateral active retinitis.

Results

The yellowish area of retinitis surrounding a pigmented chorioretinal scar and the full thickness retinal hyper-reflectivity associated with diffuse increase in choroidal demonstrated a challenging case of necrotising retinitis, where baseline clinical and tomographic features were atypical and misleading towards a toxoplasmic aetiology. The detection of virus genome in ocular samples was necessary to achieve a correct diagnosis of acute retinal necrosis.

Conclusion

Although rare, choroidal involvement may occur in acute retinal necrosis along with the well-known retinal features.

KEYWORDS:

• Acute retinal necrosis
• optical coherence tomography
• toxoplasmosis
• viral retinitis

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

The authors reported there is no funding associated with the work featured in this article.