A Case of Acute Retinal Necrosis Following Herpes Simplex Virus (HSV) Encephalitis
Journal of the Korean Ophthalmological Society
;
: 1186-1189, 2012.
Article
in Korean
| WPRIM
| ID: wpr-23514
ABSTRACT
PURPOSE:
To report a case of unilateral acute retinal necrosis (ARN) following herpes simplex virus (HSV) encephalitis. CASESUMMARY:
A 19-year-old man previously diagnosed with HSV encephalitis presented with a headache and visual loss in his left eye. On the initial visit, slit-lamp examination showed conjunctival injection and inflammatory cells (3+) in the anterior chamber of the left eye. Funduscopic examination showed optic disc swelling, multiple yellow-whitish spots in the peripheral retina and retinal vascular sheathing. After the patient was diagnosed with ARN, intravenous acyclovir (1,500 mg/m2/day) was administered. Because retinal detachment and multiple retinal breaks were found during the treatment period, the authors performed barrier laser treatment in the peripheral retina. At that time, no retinal necrosis was observed in the patient's right eye. The retinal lesions regressed, and no new retinal lesion was observed in the left eye, during the follow-up period.CONCLUSIONS:
We report a case of ARN in a patient with HSV encephalitis. Ophthamologist should perform a thorough ophthalmic examination in a patient diagnosed with HSV encephalitis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polystyrenes
/
Retina
/
Retinal Perforations
/
Retinaldehyde
/
Retinal Detachment
/
Acyclovir
/
Retinal Necrosis Syndrome, Acute
/
Follow-Up Studies
/
Simplexvirus
/
Encephalitis, Herpes Simplex
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2012
Type:
Article
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