Chikungunya virus iridocyclitis in Fuchs' heterochromic iridocyclitis

Mahendradas, Padmamalini; Shetty, Rohit; Malathi, J.; Madhavan, H. N.
November 2010
Indian Journal of Ophthalmology;Nov2010, Vol. 58 Issue 6, p545
Academic Journal
Case Study
We are reporting a case of bilateral Fuchs' heterochromic iridocyclitis with chikungunya virus infection in the left eye. A 20-year-old female was presented with a past history of fever suggestive of chikungunya with bilateral Fuchs' heterochromic iridocyclitis and complicated cataract. She had a tripod dendritic pattern of keratic precipitates by confocal microscopy in the left eye with a stippled pattern of keratic precipitates in both eyes. The real-time polymerase chain reaction (RT-PCR) assay in the aqueous humor detected 98 copies/ml of chikungunya virus RNA. The patient underwent clear corneal phacoemulsification with in-the-bag intraocular lens implantation in the left eye with a good visual outcome. This is the first report where the presence of chikungunya virus RNA has been associated with a case of bilateral Fuchs' heterochromic iridocyclitis.


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