Acute retinal necrosis: Difference between revisions
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** Vitreal and aqueous inflammation |
** Vitreal and aqueous inflammation |
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* Most commonly [[HSV]] and [[VZV]], though [[CMV]] also possible |
* Most commonly [[HSV]] and [[VZV]], though [[CMV]] also possible |
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Revision as of 10:47, 12 August 2020
Background
- Definition:
- Well-demarcated retinal necrosis on peripheral retina
- 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
Management
- Directed by causative organism
- Involvement of Ophthalmology
- Typically requires intravenous ± intravitreal acyclovir, stepped down to oral valacyclovir
- May require steroids
- May require vitrectomy or laser therapy
