A Case of Acute Retinal Necrosis in Healthy Childhood.
10.3341/jkos.2016.57.1.125
- Author:
Byoung Seon KIM
1
;
Ji Hye KIM
;
Yong Seop HAN
;
In Young CHUNG
;
Jong Moon PARK
Author Information
1. Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea. parkjm@gnu.ac.kr
- Publication Type:Case Report
- Keywords:
Acute retinal necrosis;
Herpes simplex virus;
Polymerase chain reaction
- MeSH:
Acyclovir;
Anterior Chamber;
Aqueous Humor;
Child;
Herpes Simplex;
Humans;
Paracentesis;
Polymerase Chain Reaction;
Prednisolone;
Retinal Hemorrhage;
Retinal Necrosis Syndrome, Acute*;
Retinaldehyde;
Simplexvirus;
Uveitis;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2016;57(1):125-129
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To describe a case of acute retinal necrosis (ARN) in childhood. CASE SUMMARY: A 6-year-old child visited our clinic complaining of conjunctival injection and decreased visual acuity in the left eye. Slit-lamp examination showed conjunctival injection, inflammatory cells (4+) in the anterior chamber, and keratic precipitates. Fundus examination showed disc swelling. The patient was treated with 30 mg of oral prednisolone and 1% prednisolone acetate with the suspicion of uveitis. After 2 days, retinal examination showed a peripheral multifocal yellowish patch and retinal hemorrhage. Herpes simplex virus-2 was detected using polymerase chain reaction (PCR) analysis of the aqueous humor, which was obtained by anterior chamber paracentesis. In the present case, ARN in childhood was successfully treated with intravenous acyclovir. CONCLUSIONS: We report a case of ARN in childhood diagnosed using PCR. Intravenous acyclovir may be an effective therapy in children with ARN. Ophthalmologists should promptly perform PCR analysis in patients diagnosed with ARN.
