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Year : 2016  |  Volume : 4  |  Issue : 2  |  Page : 100-102

Coexistent retinal vasculitis and aggressive posterior retinopathy of prematurity in a preterm infant

1 Department of Retina and ROP Services, H. V. Desai Eye Hospital, Pune, India
2 Byramjee Jeejeebhoy Medical College and Sassoon General Hospital, Pune, Maharashtra, India

Correspondence Address:
Sucheta R Kulkarni
The Poona Blind Men's Association's H. V. Desai Eye Hospital, 93 Tarawade Vasti Mohammadwadi, Hadapsar, Pune-411 060, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3897.183723

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We report a rare case with simultaneous occurrence of retinal vasculitis and aggressive posterior retinopathy of prematurity (APROP) in a preterm infant. During ROP screening at 5 weeks of age, RetCam imaging revealed early vascular shunts in zone I and plus disease diagnostic of APROP along with bilateral retinal vasculitis. APROP regressed with laser followed by intravitreal bevacizumab (IVB) in right eye and with laser only in left eye. Antifungal treatment was started (Fluconazole 6 mg/kg/day) on clinical suspicion of fungal sepsis with eventual resolution of retinal vasculitis. Retinal vasculitis can be an ocular sign of systemic fungal infection and can predispose an infant for development of retinopathy of prematurity (ROP). Simultaneous occurrence of both entities might pose a challenge in the management.

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