A study on use of adjuvant therapy of steroid and antibiotics in treatment of unilateral retinitis following typhoid fever in a medical college in Kuppam

Authors : Shiva Sagar N, Shiva Sagar N, Ananthanag E, Ananthanag E, Usha Kiran R, Usha Kiran R, Narayan M, Narayan M

DOI : 10.18231/j.ijooo.2021.018

Volume : 7

Issue : 1

Year : 2021

Page No : 89-93

Purpose: To compare the efficacy of adjuvant therapy of topical steroids eye drops with oral antibiotics and monotherapy of oral antibiotics in a typhoid fever associated retinitis.
Materials and Methods: The study was conducted on a 30yr old male who presented to our OPD with decreased vision in left eye and was followed up for 1 month.
Results: A 30yr old male patient presented to our OPD with decreased vision with left eye with history of typhoid fever for a duration of 4 weeks and was treated successfully. His BCVA was 6/6 in Right Eye and 6/36 in Left Eye. Fundus examination revealed multiple whitish ill defined lesions suggestive of retinitis lesions which was noted superiorly to the disc which was associated with macular neuro-sensory detachment and blurring of disc margins in the left eye. Significant improvement in BCVA was observed with adjuvant therapy of topical steroids with antibiotics over a period of 1 month. Diagnosis of post typhoid
immune mediated retinitis was made with good resolution following treatment.

Keywords: Post typhoid retinitis, Immune mediated retinitis, Post fever retinitis.


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