Home|Journals|Articles by Year|Audio Abstracts
 

Case Report

Ann Med Res. 2012; 19(4): 281-285


Acute Retinal Necrosis: Case Report

Rumeysa Tanyıldızı, Burak Turgut, Ülkü Çeliker, Tamer Demir, Orhan Aydemir

.




Abstract


30-year-old woman was admitted with complaints of decreased vision and pain in the left eye for the previous seven days. Visual acuity was 1.0 on the right eye and 0,2 on the left eye. Ophthalmologic examination of the left eye revealed conjunctival hyperemia, 3+ cellular reaction in the anterior chamber, diffuse keratic precipitates, 2 + cellular reaction in the vitreous. In fundoscopic examination, multiple retinal hemorrhages and foci of retinal necrosis were detected in peripheral retina with arteriolitis. The examination of the right eye was normal. The patient was admitted with the diagnosis of acute retinal necrosis and received intravenous acyclovir for ten days (10 mg/kg/day). After 48 h of antiviral therapy, systemic corticosteroid therapy (prednisolone 1 mg/kg/day) was introduced and tapered over eight weeks. Prophylactic barrier laser photocoagulation was performed in the areas of retina at the posterior borders of the necrotic lesion. During follow-up, the inflammation decreased and the patient did not have retinal detachment or other eye involvement. Acute retinal necrosis (ARN) is a syndrome with severe loss of vision and its diagnosis mostly depends on clinical appearance. ARN can be taken under control by the correct diagnosis and effective treatment. Visual prognosis can be better after the treatment and the involvement of the other eye can be prevented.
Key Words: Acute Retinal Necrosis; Acyclovir; Prognosis.






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.