Case description

A 31-year-old woman presented to our emergency department with a 10-day history of a red, painful right eye and subjectively reduced vision. She was 2 weeks post partum and had been discharged home on oral antibiotics after a single febrile episode on day 1 postdelivery. Her medical history was unremarkable and she was systemically well at presentation. Her right visual acuity was 6/45 and left 6/6. There was diffuse right sided conjunctival injection and biomicroscopy revealed significant anterior chamber inflammation. Intraocular pressure was normal. Fundus examination of the right eye showed a well circumscribed, white area of chorioretinitis, involving the macula, with associated vitritis (figure 1A). In addition, there were inferior retinal haemorrhages, cotton wool spots and venous sheathing (figure 1B). Ocular coherence tomography confirmed the presence of a central macular chorioretinal lesion, without overt penetration into the vitreous space (figure 2A).