An unusual case of exudative retinal detachment with choroidal involvement - A diagnostic challenge

In this report, we describe a challenging case of viral panuveitis with choroidal involvement and exudative retinal detachment (RD). Multimodal imaging, comprising optical coherence tomography, fluorescein angiography, and indocyanine green angiography, confirmed the choroidal involvement in the presence of acute retinitis. Real-time polymerase chain reaction from aqueous fluid helped clinch the diagnosis of herpes simplex virus-1 panuveitis. Treatment with oral valacyclovir, along with topical and oral steroids, resulted in the resolution of exudative RD, retinitis, and choroidal lesions. This case highlights the choroidal involvement as an atypical presentation of viral uveitis.