Abstract

A 30-year-old male presented with two-month history of reduced vision, which was initially treated as a case of uveitis elsewhere. However, the response to the treatment was unsatisfactory, and he was advised to undergo MRI as the vision did not improve.

At presentation at our center his vision was 6/12, with few cells in AC but predominant retrolental cells along with media haze. A shallow retinal detachment (RD) with lattice & a retinal break in the STQ was noted. Pneumatic retinopexy was performed, accompanied by cryotherapy, resulting in the reattachment of the retina. However, the haziness of the ocular media persisted.

To manage the progression of proliferative vitreoretinopathy (PVR), the patient was continued on oral steroids. After two weeks of successful PNR, an optical coherence tomography (OCT) revealed the emergence of a CME, accompanied by a one-line reduction in visual acuity. He finally responded to treatment with topical and oral steroids.