Chikungunya Virus Infection Manifesting as Intermediate Uveitis

Purpose: To describe a case of intermediate uveitis caused by chikungunya virus infection in the Western Hemisphere. Methods: Case report of a patient diagnosed with chikungunya infection presenting with blurry vision and floaters. Results: Exam revealed a unilateral intermediate uveitis, with an extensive work-up positive for chikungunya virus immunoglobulin M and G titers. The patient responded to oral corticosteroids with signs and symptoms resolving over the course of 3 months’ treatment. Conclusions: While anterior uveitis and retinitis are the most common ocular manifestations of chikungunya infection, we report here a case of chikungunya infection presenting as an intermediate uveitis, responding well to oral corticosteroids. This case demonstrates the varied presentation of chikungunya-related uveitis and highlights its consideration in the differential diagnoses of those who have had preceding systemic viral symptoms and uveitis.