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[Atypical case of acute retinal necrosis secondary to the primary herpes simplex infection].
- Source :
-
Klinika oczna [Klin Oczna] 2015; Vol. 117 (3), pp. 184-8. - Publication Year :
- 2015
-
Abstract
- Acute retinal necrosis is a rare manifestation of viral chorioretinitis, accompanied by occlusive vasculitis, which is associated with poor visual prognosis. The main causal factors include varicella-zoster virus in older patients and herpes simplex in younger ones. The disease typically manifests as a reactivation of latent infections. We present a case of a 57-year-old female with atypical clinical manifestation of acute retinal necrosis secondary to the primary viral infection with herpes simplex. The serology panel of vitreous tap and blood sample confirmed viral aetiology (H. simplex). The initial clinical signs included optic disc edema with retinitis presenting as self-limiting, slowly progressing, peripheral lesions, later followed by uveitis. The antiviral therapy resolved the symptoms of uveitis and enabled healing of retinal lesions, however the natural course of disease was later complicated with retinal detachment. It was successfully treated with vitreoretinal surgery. Despite aggressive treatment, the final visual outcome was unfavourable, due to optic nerve atrophy.
- Subjects :
- Antiviral Agents therapeutic use
Disease Progression
Eye Infections, Viral drug therapy
Female
Herpes Simplex drug therapy
Humans
Middle Aged
Retinal Detachment surgery
Retinal Necrosis Syndrome, Acute pathology
Uveitis drug therapy
Uveitis etiology
Vitreoretinal Surgery
Eye Infections, Viral complications
Herpes Simplex complications
Retinal Detachment etiology
Retinal Necrosis Syndrome, Acute etiology
Subjects
Details
- Language :
- Polish
- ISSN :
- 0023-2157
- Volume :
- 117
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Klinika oczna
- Publication Type :
- Academic Journal
- Accession number :
- 26999943