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Dr. Maheshwari S
Title: A Haunting Image of “Frosted Branch Angitis
Description: Case report of a 9-year-old child presenting with sudden bilateral defective vision, associated with a recent history of fever and vesicular lesions. Examination revealed OU Vision 1/60 , granulomatous keratic precipitates, significant anterior chamber inflammation, and bilateral vasculitis with exudative retinal detachment. Diagnostic evaluation included a basic uvea panel. Patient was treated with intravenous acyclovir and steroids, followed by a tapering dose of oral steroids and antiviral therapy. Vision improved to 5/60 OU.
Dr. Rajiv Gandhi Mahavir
Title: Retinal Arterio-Venous Malformation with Macular Hemorrhage
Description: A 34 year male presented with sudden diminution of vision in the left eye following a large bout of cough. He had no significant previous history. On examination he was diagnosed with large arterio-venous malformation with small pre-macular hemorrhage (Valsalva retinopathy). His right eye was normal. Considering the large AV malformation seen, he was advised MRI angiography of the brain to rule out any other AV malformations. But, the patient refused to undergo it. So, he was given medications and asked for observation for macular hemorrhage to reaolve, which resolved in 4 weeks time and the vision improved.
Dr. Apoorva Guruprasad Ayachit
Title: The Rapidly Constricted Circle of Doom- Proliferative Diabetic Retinopathy in A Young Patient
Description: Fundus fluorescein angiogram showing proliferative diabetic retinopathy (PDR) in a young diabetic patient. The right eye shows a perfused retina of just about 10 disc diameters by 10 disc diameters size with the rest of the retina being completely avascular. The left eye shows similar perfusion area as the right eye with panretinal photocoagulation (PRP) spots, with the angiogram revealing skip areas of capillary non- perfusion requiring more sittings of PRP laser. A wide- field angiography is very useful for documentation of capillary non perfusion and skip areas for laser. Young diabetic patients are especially at a higher risk for PDR and need urgent PRP to prevent vision- threatening complications such as vitreous hemorrhage and tractional retinal detachment.
