EBV-Induced Inflammatory Chorioretinitis With Bilateral Retinal Serous Detachment in a Young Immunocompetent Patient

Abstract

Epstein-Barr virus (EBV) infection is generally asymptomatic and persists throughout life. Ocular involvement is rare, observed in immunocompromised patients, particularly those infected with HIV, where retinal involvement may occur. Inflammatory chorioretinitis with bilateral retinal serous detachment is a rare entity in EBV infections. This case report describes inflammatory chorioretinitis with bilateral serous retinal detachment in an immunocompetent patient, resulting from Epstein-Barr virus (EBV) infection. Although ocular involvement by EBV is rare in immunocompetent patients, this case highlights the importance of considering this possibility. The patient was successfully treated with acyclovir, highlighting the potential efficacy of antivirals in these situations. This observation highlights the need for early detection to prevent irreversible ocular damage, despite the lack of standard diagnostic algorithms. Optimal clinical management of these cases remains a challenge, underlining the need for further research. Keywords: Epstein-Barr Virus Infections; Chorioretinitis; Retinal Serous Detachment; Acyclovir; Immunocompetent Patient Abbreviations: EBV: Epstein-Barr Virus, HIV: Human Immunodeficiency Virus, CMV: Cytomegalovirus, HSV: Herpes Simplex Virus, OCT: Optical Coherence Tomography