Acute retinal necrosis
Fuente:
Redalyc
Enregistré dans:
| Auteur principal: | |
|---|---|
| Format: | Artículo científico |
| Langue: | en |
| Publié: |
Universidad del Valle
2009
|
| Sujets: | |
| Accès en ligne: | |
| Tags: |
Ajouter un tag
Pas de tags, Soyez le premier à ajouter un tag!
|
| _version_ | 1876458453319286784 |
|---|---|
| author | HUGO HERNÁN OCAMPO |
| author_facet | HUGO HERNÁN OCAMPO |
| contents | Acute retinal necrosis HUGO HERNÁN OCAMPO ALEXÁNDER MAXIMILIANO MARTÍNEZ Medicina herpes virus Triamcinolone Valgancyclovir Cytomegalovirus Acute retinal necrosis Purpose: Clinical features in a case of acute retinal necrosis are described as well as its diagnostic approach and response to early treatment.Methods: This is a descriptive and retrospective study case report of a 26 year old male patient who arrived to the emergency room with a three day history of sudden visual loss in the right eye (RE). At initial evaluation a visual acuity of hand movements in the RE, 20/15 in the left eye (LE) and a right relative afferent pupillary defect were found. Fundoscopy revealed profuse soft exudates and hemorrhages involving posterior pole, inferior hemiretina and superotemporal periphery. Infectious workup and fluoresceinic angiography were made and positive serologies for herpes virus types 1 and 2, without HIV, were found. A diagnosis of acute retinal necrosis was made and treatment with intravenous valgancyclovir for twoweeks and intra-vitreous triamcinolone for severe vasculitis, was given. Then a 3 months treatment with oral antiviral agents was prescribed.Results: Patient's evolution showed improvement with treatment and at two and a half months of follow up, visual acuity was 20/50 in the right eye, normal slit lamp examination, tonometry of 12 mm Hg and fundoscopy improved when compared to initial pictures.Conclusions: A high index of suspicion is needed for diagnosing ARN taking into account clinical findings. Prompt intravenous and intra-vitreous treatments are needed to achieve good clinical and functional outcomes and to avoid central nervous system complications. 2009 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28312403011 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.40 |
| format | Artículo científico |
| id | redalyc_28312403011 |
| institution | Redalyc |
| language | en |
| publishDate | 2009 |
| publisher | Universidad del Valle |
| spellingShingle | Acute retinal necrosis HUGO HERNÁN OCAMPO Medicina herpes virus Triamcinolone Valgancyclovir Cytomegalovirus Acute retinal necrosis Acute retinal necrosis HUGO HERNÁN OCAMPO ALEXÁNDER MAXIMILIANO MARTÍNEZ Medicina herpes virus Triamcinolone Valgancyclovir Cytomegalovirus Acute retinal necrosis Purpose: Clinical features in a case of acute retinal necrosis are described as well as its diagnostic approach and response to early treatment.Methods: This is a descriptive and retrospective study case report of a 26 year old male patient who arrived to the emergency room with a three day history of sudden visual loss in the right eye (RE). At initial evaluation a visual acuity of hand movements in the RE, 20/15 in the left eye (LE) and a right relative afferent pupillary defect were found. Fundoscopy revealed profuse soft exudates and hemorrhages involving posterior pole, inferior hemiretina and superotemporal periphery. Infectious workup and fluoresceinic angiography were made and positive serologies for herpes virus types 1 and 2, without HIV, were found. A diagnosis of acute retinal necrosis was made and treatment with intravenous valgancyclovir for twoweeks and intra-vitreous triamcinolone for severe vasculitis, was given. Then a 3 months treatment with oral antiviral agents was prescribed.Results: Patient's evolution showed improvement with treatment and at two and a half months of follow up, visual acuity was 20/50 in the right eye, normal slit lamp examination, tonometry of 12 mm Hg and fundoscopy improved when compared to initial pictures.Conclusions: A high index of suspicion is needed for diagnosing ARN taking into account clinical findings. Prompt intravenous and intra-vitreous treatments are needed to achieve good clinical and functional outcomes and to avoid central nervous system complications. 2009 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28312403011 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.40 |
| title | Acute retinal necrosis |
| topic | Medicina herpes virus Triamcinolone Valgancyclovir Cytomegalovirus Acute retinal necrosis |
| url | https://www.redalyc.org/articulo.oa?id=28312403011 |