Abstract：
PURPOSE:To report a case of presumed bilateral acute retinal necrosis with delayed onset caused by herpes simplex virus type 2, medical treatment, and surgical approach. METHODS:Retrospective, interventional case described in a 51-year-old patient who complained of unilateral blurred vision with history of nonoperated retinal detachment in his fellow eye after posterior uveitis 11 years earlier. RESULTS:Ocular examination suggested diagnosis of acute retinal necrosis involving the posterior pole and sparing periphery. The causative agent was demonstrated using polymerase chain reaction analysis of the aqueous humor. Intensive medical treatment with intravenous acyclovir, intravitreous foscarnet, and corticosteroids was administered, slowing down but not stopping progression of the disease. Due to the monocular status of the patient and high probability of secondary retinal detachment, early vitrectomy was indicated. CONCLUSIONS:Rapid and aggressive medical treatment is necessary in this condition. Bilateral involvement often occurs within weeks, but can also happen more rarely after several months or years, requiring long-term follow-up. Early surgical treatment is controversial but it is an option to be considered in certain cases.
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
Navarro-Navarro A,Martinez-Toldos JJ,Tarazona-Jaimes CP,Fernandez-Martinez C,Baeza-Diaz MVdoi
10.5301/ejo.5000596subject
Has Abstractpub_date
2015-07-30 00:00:00pages
e81-3issue
5eissn
1120-6721issn
1724-6016pii
BBDAB443-1A53-48EA-96CA-906CCD5DB5C7journal_volume
25pub_type
杂志文章abstract：PURPOSE:To evaluate the risk factors for posterior capsule rupture with or without vitreous loss (PCR +/- VL) in extracapsular cataract extraction (ECCE). METHODS:The charts of 2794 consecutive patients who had ECCE with or without intraocular lens implantation between January 1992 and December 1997 were reviewed retr...
journal_title：European journal of ophthalmology
pub_type： 临床试验,杂志文章,随机对照试验
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abstract：PURPOSE:To describe conjunctival histopathologic alterations induced by excessive chronic astringent use. METHODS:Report of a case with clinical picture, epicutane test results, histologic workup of conjunctival biopsy using conventional staining, and immunohistochemical markers. RESULTS:A 45-year-old man using a phe...
journal_title：European journal of ophthalmology
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journal_title：European journal of ophthalmology
pub_type： 临床试验,杂志文章
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journal_title：European journal of ophthalmology
pub_type： 杂志文章
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更新日期：2006-09-01 00:00:00
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journal_title：European journal of ophthalmology
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journal_title：European journal of ophthalmology
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doi：10.1177/112067210701700530
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journal_title：European journal of ophthalmology
pub_type： 临床试验,杂志文章,随机对照试验
doi：
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journal_title：European journal of ophthalmology
pub_type： 杂志文章,随机对照试验
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journal_title：European journal of ophthalmology
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journal_title：European journal of ophthalmology
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journal_title：European journal of ophthalmology
pub_type： 杂志文章,评审
doi：
更新日期：1998-10-01 00:00:00
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journal_title：European journal of ophthalmology
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更新日期：1995-04-01 00:00:00
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journal_title：European journal of ophthalmology
pub_type： 杂志文章,多中心研究
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