A Case of Acute Retinal Necrosis in Healthy Childhood
Journal of the Korean Ophthalmological Society
;
: 125-129, 2016.
Article
in Korean
| WPRIM
| ID: wpr-62058
ABSTRACT
PURPOSE:
To describe a case of acute retinal necrosis (ARN) in childhood. CASESUMMARY:
A 6-year-old child visited our clinic complaining of conjunctival injection and decreased visual acuity in the left eye. Slit-lamp examination showed conjunctival injection, inflammatory cells (4+) in the anterior chamber, and keratic precipitates. Fundus examination showed disc swelling. The patient was treated with 30 mg of oral prednisolone and 1% prednisolone acetate with the suspicion of uveitis. After 2 days, retinal examination showed a peripheral multifocal yellowish patch and retinal hemorrhage. Herpes simplex virus-2 was detected using polymerase chain reaction (PCR) analysis of the aqueous humor, which was obtained by anterior chamber paracentesis. In the present case, ARN in childhood was successfully treated with intravenous acyclovir.CONCLUSIONS:
We report a case of ARN in childhood diagnosed using PCR. Intravenous acyclovir may be an effective therapy in children with ARN. Ophthalmologists should promptly perform PCR analysis in patients diagnosed with ARN.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aqueous Humor
/
Retinaldehyde
/
Uveitis
/
Acyclovir
/
Prednisolone
/
Retinal Hemorrhage
/
Visual Acuity
/
Retinal Necrosis Syndrome, Acute
/
Polymerase Chain Reaction
/
Simplexvirus
Limits:
Child
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2016
Type:
Article
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