Acute retinal necrosis - Revision history

Aidan: /* Management */

2021-02-15T15:45:56Z

Management

← Older revision		Revision as of 15:45, 15 February 2021
Line 22:		Line 22:
	*Directed by causative organism		*Directed by causative organism
	*Involvement of Ophthalmology		*Involvement of Ophthalmology
	*Typically requires intravenous ± intravitreal [[Is treated by::acyclovir]], stepped down to oral [[valacyclovir]] after 5 to 10 days, to complete 3 months		*Typically requires intravenous ± intravitreal [[Is treated by::acyclovir]], stepped down to oral [[valacyclovir]] after 7 to 14 days, to complete 3 months
	**Sometimes intravitreal [[ganciclovir]] or [[foscarnet]] is added		**Sometimes intravitreal [[ganciclovir]] or [[foscarnet]] is added
	*May require steroids, usually added after 24 hours of antiviral therapy		*May require steroids, usually added after 24 hours of antiviral therapy

Aidan: /* Further Reading */

2021-02-13T18:47:42Z

Aidan at 18:34, 13 February 2021

2021-02-13T18:34:59Z

← Older revision		Revision as of 18:34, 13 February 2021
Line 7:		Line 7:
	**Occlusive vasculopathy		**Occlusive vasculopathy
	**Vitreal and aqueous inflammation		**Vitreal and aqueous inflammation
			*On the spectrum of [[necrotizing herpetic retinopathy]], with [[progressive outer retinal necrosis]] on the other end of the spectrum

	==Differential Diagnosis==		==Differential Diagnosis==
Line 26:		Line 27:
	*May require vitrectomy or laser therapy		*May require vitrectomy or laser therapy

	== Further Reading ==		==Further Reading==

	* Advances in the Management of Acute Retinal Necrosis. ''Int Ophthalmol Clin''. 2015;55(3):1–13. doi: [https://doi.org/10.1097/IIO.0000000000000077 10.1097/IIO.0000000000000077]		*Advances in the Management of Acute Retinal Necrosis. ''Int Ophthalmol Clin''. 2015;55(3):1–13. doi: [https://doi.org/10.1097/IIO.0000000000000077 10.1097/IIO.0000000000000077]

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

Aidan at 17:16, 13 February 2021

2021-02-13T17:16:24Z

← Older revision		Revision as of 17:16, 13 February 2021
Line 25:		Line 25:
	*May require steroids, usually added after 24 hours of antiviral therapy		*May require steroids, usually added after 24 hours of antiviral therapy
	*May require vitrectomy or laser therapy		*May require vitrectomy or laser therapy

			== Further Reading ==

			* Advances in the Management of Acute Retinal Necrosis. ''Int Ophthalmol Clin''. 2015;55(3):1–13. doi: [https://doi.org/10.1097/IIO.0000000000000077 10.1097/IIO.0000000000000077]

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

Aidan at 17:06, 13 February 2021

2021-02-13T17:06:18Z

← Older revision		Revision as of 17:06, 13 February 2021
Line 1:		Line 1:
	== Background ==		==Background==
⚫	* Definition:
⚫	** Well-demarcated retinal necrosis on peripheral retina
⚫	** Rapid progression of necrosis
⚫	** Circumferential spread
⚫	** Occlusive vasculopathy
⚫	** Vitreal and aqueous inflammation

		⚫	*Definition:
⚫	== Differential Diagnosis ==
		⚫	**Well-demarcated retinal necrosis on peripheral retina
⚫	* Most commonly [[HSV]] and [[VZV]], though [[CMV]] also possible
		⚫	**Rapid progression of necrosis
		⚫	**Circumferential spread
		⚫	**Occlusive vasculopathy
		⚫	**Vitreal and aqueous inflammation

		⚫	==Differential Diagnosis==
⚫	== Clinical Manifestations ==
⚫	* Starts as anterior uveitis (painful, red eye with vision loss) that progresses to retinal necrosis
⚫	* High rates of retinal detachment and blindness

		⚫	*Most commonly [[HSV]] and [[VZV]], though [[CMV]] also possible
⚫	== Management ==

⚫	* Directed by causative organism
		⚫	==Clinical Manifestations==
⚫	* Involvement of Ophthalmology

⚫	* Typically requires intravenous ± intravitreal [[Is treated by::acyclovir]], stepped down to oral [[valacyclovir]]
		⚫	*Starts as anterior uveitis (painful, red eye with vision loss) that progresses to retinal necrosis
	* May require steroids
		⚫	*High rates of retinal detachment and blindness
⚫	* May require vitrectomy or laser therapy

		⚫	==Management==

		⚫	*Directed by causative organism
		⚫	*Involvement of Ophthalmology
		⚫	*Typically requires intravenous ± intravitreal [[Is treated by::acyclovir]], stepped down to oral [[valacyclovir]] after 5 to 10 days, to complete 3 months
			**Sometimes intravitreal [[ganciclovir]] or [[foscarnet]] is added
			*May require steroids, usually added after 24 hours of antiviral therapy
		⚫	*May require vitrectomy or laser therapy

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

Aidan: /* Background */

2020-08-12T14:47:59Z

Background

← Older revision		Revision as of 14:47, 12 August 2020
Line 7:		Line 7:
	** Vitreal and aqueous inflammation		** Vitreal and aqueous inflammation

	== Differential Diagnosis		== Differential Diagnosis ==
	* Most commonly [[HSV]] and [[VZV]], though [[CMV]] also possible		* Most commonly [[HSV]] and [[VZV]], though [[CMV]] also possible

Aidan: Created page with "== Background == * Definition: Well-demarcated retinal necrosis on peripheral retina Rapid progression of necrosis Circumferential spread Occlusive vasculopathy **..."

2020-08-12T14:47:53Z

Created page with "== Background == * Definition: ** Well-demarcated retinal necrosis on peripheral retina ** Rapid progression of necrosis ** Circumferential spread ** Occlusive vasculopathy **..."

New page

== Background ==
* Definition:
** Well-demarcated retinal necrosis on peripheral retina
** Rapid progression of necrosis
** Circumferential spread
** Occlusive vasculopathy
** Vitreal and aqueous inflammation

== Differential Diagnosis
* Most commonly [[HSV]] and [[VZV]], though [[CMV]] also possible

== Clinical Manifestations ==
* Starts as anterior uveitis (painful, red eye with vision loss) that progresses to retinal necrosis
* High rates of retinal detachment and blindness

== Management ==
* Directed by causative organism
* Involvement of Ophthalmology
* Typically requires intravenous ± intravitreal [[Is treated by::acyclovir]], stepped down to oral [[valacyclovir]]
* May require steroids
* May require vitrectomy or laser therapy

[[Category:Ophthalmology]]
[[Category:Infectious diseases]]
[[Category:Eye infections]]

← Older revision		Revision as of 18:47, 13 February 2021
Line 30:		Line 30:

	*Advances in the Management of Acute Retinal Necrosis. ''Int Ophthalmol Clin''. 2015;55(3):1–13. doi: [https://doi.org/10.1097/IIO.0000000000000077 10.1097/IIO.0000000000000077]		*Advances in the Management of Acute Retinal Necrosis. ''Int Ophthalmol Clin''. 2015;55(3):1–13. doi: [https://doi.org/10.1097/IIO.0000000000000077 10.1097/IIO.0000000000000077]
			*Acute retinal necrosis. ''EyeWiki''. 2021. https://eyewiki.aao.org/Acute_retinal_necrosis

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]