Unusual retinal manifestations of PORN combined complications of central retinal artery and vein occlusions
- VernacularTitle:并发视网膜中央动静脉阻塞的特殊PORN1例
- Author:
E-Shawn GOH
;
Stephen C.B.TEOH
;
Albert T.H.LIM
- Publication Type:Journal Article
- Keywords:
acquired immuno-deficiency syndrome (AIDS);
central retinal artery occlusion (CRAO);
central retinal vein occlusion (CRVO);
progressive outer retinal necrosis (PORN);
combined complications
- From:
International Eye Science
2008;8(11):2185-2186
- CountryChina
- Language:Chinese
-
Abstract:
·AIM:To describe an unusual combination of retinal manifestations in an AIDS patient with progressive outer retinal necrosis (PORN),complicated by combined central retinal artery occlusion (CRAO) and central retinal vein occlusion (CRVO).·METHODS:A case report.·RESULTS:The patient presented with PORN with primary optic nerve involvement complicated by combined central retinal artery occlusion(CRAO) and central retinal vein occlusion(CRVO) as a primary manifestation of Varicella Zoster Virus (VZV).Aggressive treatment with intravitreal and specific systemic anti-VZV therapy,in addition to systemic highly active antiretroviral therapy (HAART) achieved retinal quiescence with sparing of the fellow eye.Visual outcome of the affected eye was poor.·CONCLUSION:We present the first report of PORN associated with the unusual combined complications of CRAO and CRVO. Aggressive local treatment was combined with systemic therapy,which achieved local control and empirical prophylaxis for the fellow eye.
