Refractory acute retinal necrosis presenting as peripapillary choroiditis - A diagnostic and therapeutic challenge.

Autor: Kawali A; Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, Karnataka, India., Mishra SB; Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, Karnataka, India., Mahendradas P; Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, Karnataka, India., Shetty R; Department of Refractive Surgery, Narayana Nethralaya, Bangalore, Karnataka, India.
Jazyk: angličtina
Zdroj: Indian journal of ophthalmology [Indian J Ophthalmol] 2025 Jan 01; Vol. 73 (Suppl 1), pp. S2-S6. Date of Electronic Publication: 2024 Aug 14.
DOI: 10.4103/IJO.IJO_894_24
Abstrakt: This report describes a challenging case of refractory acute retinal necrosis (ARN) with peripapillary choroiditis as the initial presenting sign. Imaging studies confirmed multifocal choroidal lesions and noted the novel sign of vertical hyper-reflective strips (VHRS) in the outer nuclear layer. Initial treatment with acyclovir and valacyclovir failed, and involvement of the other eye suggested a resistant variant of varicella zoster virus. High-dose oral famciclovir therapy resulted in rapid resolution of ARN in both eyes. This case highlights the rare occurrence of choroiditis, the novel finding of VHRS, and the potential utility of high-dose oral famciclovir in treating refractory ARN.
(Copyright © 2024 Indian Journal of Ophthalmology.)
Databáze: MEDLINE
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