Clinical profile and visual outcomes in post-fever retinitis−a case series

Abstract

Post-fever retinitis mostly represents a para-infectious etiology with a seasonal pattern in endemic areas without a uniformly identifiable cause. It mostly affects young immunocompetent individuals and has a self-limiting course. We present a single-center retrospective case series of five patients presenting with acute retinitis, following a febrile illness with no specific etiology from December 2022 to January 2023. The retinitis lesions had a sudden onset with rapid evolution, preceded by a febrile episode within one month of presentation, in all cases. Serology testing was non-contributory in guiding the therapy. Oral corticosteroid therapy was effective in the resolution of lesions and improving the visual outcomes. Post-fever retinitis is easily diagnosed on the basis of clinical features and a history of flu like illness and responds very effectively to oral corticosteroid therapy.