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Acute retinal necrosis following contralateral herpes zoster ophthalmicus.

AbstractBACKGROUND:
A case report of contralateral acute retinal necrosis (ARN) following herpes zoster ophthalmicus.
CASE:
A 61-year-old male patient developed iridocyclitis and well-demarcated creamy-white retinal lesions at the nasal periphery in the right eye 1 month after herpes zoster ophthalmicus in the left eye. The patient had undergone surgery for primary lung cancer, and had subsequent intracranial metastasis of the tumor.
OBSERVATIONS:
The clinical diagnosis of ARN was supported by polymerase chain reaction investigation of the aqueous humor resulting in positive for varicella-zoster virus. Retinal lesions disappeared after systemic treatment with acyclovir, corticosteroids, and acetylsalicylate. No retinal detachment developed.
CONCLUSIONS:
We propose a careful ophthalmic follow-up for herpes zoster ophthalmicus patients because of the possibility of acute retinal necrosis developing in the contralateral eye.
AuthorsF Nakanishi, H Takahashi, K Ohara
JournalJapanese journal of ophthalmology (Jpn J Ophthalmol) 2000 Sep-Oct Vol. 44 Issue 5 Pg. 561-4 ISSN: 0021-5155 [Print] Japan
PMID11033138 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Inflammatory Agents, Non-Steroidal
  • Antibodies, Viral
  • Antiviral Agents
  • DNA, Viral
  • Glucocorticoids
  • Aspirin
  • Acyclovir
Topics
  • Acyclovir (therapeutic use)
  • Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)
  • Antibodies, Viral (analysis)
  • Antiviral Agents (therapeutic use)
  • Aqueous Humor (virology)
  • Aspirin (therapeutic use)
  • DNA, Viral (analysis)
  • Drug Therapy, Combination
  • Fluorescein Angiography
  • Fundus Oculi
  • Glucocorticoids (therapeutic use)
  • Herpes Zoster Ophthalmicus (complications, diagnosis, drug therapy, virology)
  • Herpesvirus 3, Human (genetics, immunology)
  • Humans
  • Male
  • Middle Aged
  • Retina (pathology)
  • Retinal Necrosis Syndrome, Acute (diagnosis, drug therapy, etiology, virology)
  • Visual Acuity

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