Open AccessBilateral serous choroidal detachment in brucellosis and its management and outcome: Literature review and case report
Author(s) -
Himabindu Adusumilli,
Lakshmi Krupa,
Naren Shetty,
Sanjiv Rao
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1418_19
Subject(s) - medicine , serous fluid , brucellosis , doxycycline , retinal detachment , rifampicin , ophthalmology , antibiotics , pathology , retinal , immunology , tuberculosis , microbiology and biotechnology , biology
To report an unusual case of a 71-year-old livestock farmer with systemic brucellosis and ocular involvement. Examination showed vitreous haze with bilateral serous choroidal detachment. He was treated with topical antibiotics and corticosteroids, Tab rifampicin 600 mg and doxycycline 100 mg for 6 weeks with visual recovery and complete resolution of serous choroidal detachment in 2 weeks. This is the first case of bilateral serous choroidal detachment in a case of systemic brucellosis. Immune-mediated complex and direct microbial invasion of uveal tissue leading to serous choroidal detachment is the proposed pathogenesis that responds well to topical corticosteroids.