1. Acute Retinal Necrosis Possibly Triggered by Contra-Lateral Penetrating Trauma.
- Author
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Yang Y, Zhang W, and Li Y
- Subjects
- Humans, Male, Middle Aged, Visual Acuity, DNA, Viral analysis, Antiviral Agents therapeutic use, Fluorescein Angiography, Retinal Necrosis Syndrome, Acute diagnosis, Retinal Necrosis Syndrome, Acute etiology, Retinal Necrosis Syndrome, Acute virology, Retinal Necrosis Syndrome, Acute drug therapy, Eye Injuries, Penetrating diagnosis, Eye Injuries, Penetrating etiology, Eye Infections, Viral diagnosis, Eye Infections, Viral virology, Eye Infections, Viral etiology
- Abstract
Background: Acute retinal necrosis is a rare but devastating acute posterior uveitis caused by a member of the herpes virus family. We report an extremely rare ARN case following penetrating trauma in the contralateral eye., Case Presentation: A 61-year-old male was misdiagnosed as sympathetic ophthalmia due to a penetrating trauma history of the contralateral eye. The subsequent administration of high-dose IVMP therapy led to rapid progression of the retinal necrosis. ARN was strongly suspected base on the clinical examination and confirmed by the PCR aqueous testing. The patient finally got good visual outcomes by the effective and prompt antiviral treatment., Conclusion: Ophthalmologists should be alert to the possibility that penetrating injury can trigger the activation of latent viruses. If a patient experiences visual symptoms in the contralateral eye after an open-globe injury, it is recommended that a thorough peripheral retinal examination be performed to avoid missing ARN.
- Published
- 2024
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