Delayed Onset of Bilateral Acute Retinal Necrosis Syndrome: A 46-Year Interval. (March 2015)

• Record Type: Journal Article
• Authors: La Cava, Maurizio; Abbouda, Alessandro; Restivo, Lucia; Zito, Roberta
• Is Part Of: Seminars in ophthalmology. Volume 30:Number 2(2015)
• Page Start: 146
• Page End: 149
• Publication Date: 2015-03
• Subjects: Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; Eye -- Surgery -- Periodicals; 617.7005
• DOI: 10.3109/08820538.2013.833265
• Languages: English
• ISSNs: 0882-0538

Abstract

<abstract> <title>Abstract</title> <p> <italic>Background</italic>: Acute retinal necrosis (ARN) syndrome is an uncommon, severe form of retinitis that is caused by the herpes virus family. Bilateral acute retinal necrosis (BARN) at delayed onset is rare. <italic>Methods</italic>: A retrospective, interventional case is described in a 64-year-old man complaining of blurred vision in the left eye. The patient had a history of presumed ARN in the right eye at the age of 18 years. <italic>Results</italic>: The reduced visual acuity and the ocular fundus signs lead us to the diagnosis of delayed-onset BARN. Intravenous and intravitreal antiviral therapy, corticosteroid and antiplatelet treatment were administered until recovering final visual acuity. <italic>Conclusions</italic>: This report represents the longest reported interval of ARN quiescence with eventual bilateral involvement and illustrates the importance of long-term patient follow-up in immunocompetent patients.</p> </abstract>