Delayed Onset of Bilateral Acute Retinal Necrosis Syndrome: A 46-Year Interval
| Autor: | Lucia Restivo, Roberta Zito, Maurizio La Cava, Alessandro Abbouda |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Foscarnet
Male Acyclovir BARN Herpes virus Intravitreal injection medicine.medical_specialty Herpesvirus 3 Human Visual acuity genetic structures medicine.drug_class Vision Disorders Visual Acuity Retinitis Antiviral Agents Blurred vision medicine Humans Retrospective Studies Ultrasonography business.industry Delayed onset Retinal Detachment Retinal Necrosis Syndrome Acute General Medicine Middle Aged medicine.disease eye diseases Surgery Ophthalmology DNA Viral Injections Intravenous Intravitreal Injections Herpes Zoster Ophthalmicus Corticosteroid Acute retinal necrosis medicine.symptom business Tomography Optical Coherence medicine.drug Follow-Up Studies |
| Popis: | Background: Acute retinal necrosis (ARN) syndrome is an uncommon, severe form of retinitis that is caused by the herpes virus family. Bilateral acute retinal necrosis (BARN) at delayed onset is rare. Methods: A retrospective, interventional case is described in a 64-year-old man complaining of blurred vision in the left eye. The patient had a history of presumed ARN in the right eye at the age of 18 years. Results: The reduced visual acuity and the ocular fundus signs lead us to the diagnosis of delayed-onset BARN. Intravenous and intravitreal antiviral therapy, corticosteroid and antiplatelet treatment were administered until recovering final visual acuity. Conclusions: This report represents the longest reported interval of ARN quiescence with eventual bilateral involvement and illustrates the importance of long-term patient follow-up in immunocompetent patients. |
| Databáze: | OpenAIRE |
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