A case of accelerated recovery in acute retinal pigment epitheliitis with early methylprednisolone intervention
We present a compelling case of acute retinal pigment epitheliitis (ARPE), also known as Krill’s disease, in a 26-year-old female ophthalmology resident, emphasizing the significance of early intervention and its impact on rapid symptom resolution. Comprehensive ocular examination, fluorescein angio...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Delta Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/djop/fulltext/2024/25030/a_case_of_accelerated_recovery_in_acute_retinal.8.aspx |
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| Summary: | We present a compelling case of acute retinal pigment epitheliitis (ARPE), also known as Krill’s disease, in a 26-year-old female ophthalmology resident, emphasizing the significance of early intervention and its impact on rapid symptom resolution. Comprehensive ocular examination, fluorescein angiography, and spectral domain-optical coherence tomography were employed for the diagnosis. The patient received pulsed methylprednisolone therapy that was initiated promptly due to professional exigencies. Within 3 days of initiating the methylprednisolone therapy, most of the symptoms, including central scotoma and visual impairment, resolved remarkably. This accelerated recovery challenges the conventional notion of ARPE as a self-limiting condition. The case underscores the importance of individualized treatment strategies in professional contexts, where swift resolution is imperative. Advanced imaging techniques, particularly spectral domain-optical coherence tomography, play a pivotal role in both diagnosis and monitoring the disease progression. Further research is crucial to refine the treatment protocols and unravel the intricacies of ARPE pathophysiology. |
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| ISSN: | 2090-4835 |