Prabhushanker M, Topiwalla Tasneem T, Ganesan Geetha, Appandaraj Sripal
Sankara Eye Centre, Sathy Road, Sivanandapuram, Coimbatore, 641035 India.
Int J Retina Vitreous. 2017 Apr 10;3:11. doi: 10.1186/s40942-017-0065-z. eCollection 2017.
Post typhoid fever immune related reactions affecting the eye is a rare finding which can have various presentations in which typhoid retinopathy is not a well recognized sequelae.
Here we present a case of 59 year old male who presented with right eye sudden painless loss of vision 4 weeks after typhoid fever which was diagnosed and treated successfully. His BCVA was 2/60 in right eye and 6/6 in left eye. Fundus examination showed retinitis along with macular serous detachment in right eye and retinitis in left eye. Significant improvement in BCVA in right eye was observed after treatment with oral steroid with resolving retinitis lesions. Diagnosis of post typhoid immune mediated retinitis was made with good resolution following treatment.
Immune mediated retinitis is a rare sequelae to typhoid infection which can be successfully treated with systemic steroids with good resolution of the lesions.
伤寒热后影响眼睛的免疫相关反应是一种罕见的发现，可有多种表现形式，其中伤寒性视网膜病变并非一种广为人知的后遗症。
我们在此报告一例59岁男性，在患伤寒热4周后出现右眼突然无痛性视力丧失，经诊断并成功治疗。他右眼的最佳矫正视力（BCVA）为2/60，左眼为6/6。眼底检查显示右眼有视网膜炎伴黄斑浆液性脱离，左眼有视网膜炎。口服类固醇治疗后，右眼的BCVA有显著改善，视网膜炎病变消退。经治疗后，诊断为伤寒后免疫介导性视网膜炎，病变得到良好缓解。
免疫介导性视网膜炎是伤寒感染的一种罕见后遗症，可通过全身用类固醇成功治疗，病变能得到良好缓解。
