DR. NIKITA YADAV

DR. SAMENDRA KARKHUR, DR. RICHA NYODU, DR. BHAVANA SHARMA

Abstract

A 65 year old female presented with VA of 6/12 in RE and 6/9 in LE with history of BE LPI done 5 days back. Examination bilateral diffuse iris pigment on endothelium and diffuse iris atrophy. Gonioscopy revealed 3+ pigmentation, leading to a probable diagnosis of Pigment Dispersion secondary to PI. However VA worsened to 1/60 in RE over 3 months with vitreous membranes development . FFA showed diffuse vascular staining . Viral etiology was suspected and oral and topical antivirals were added. IOP deteriorated further. Patient was planned for diagnostic and therapeutic vitrectomy. Cytology report of RE vitreous sample revealed possibility of lymphoreticular malignancy while LE sample revealed no malignant cells. MRI Brain and laboratory investigations came out to be normal. Chronic vitritis sometimes presents a diagnostic challenge in front of the clinician as some conditions may mimic Intermediate uveitis like Primary Intraocular Lymphoma. This case is point in one such dilemma.