Acute retinal necrosis neuropathy. Clinical profile and surgical therapy.
Publication/Presentation Date
5-1-1989
Abstract
Twelve patients (17 eyes) with the acute retinal necrosis syndrome were analyzed with special reference to the development of an acute optic neuropathy. Six patients (9 eyes) without acute optic nerve involvement were treated with intravenous acyclovir sodium and/or vitreoretinal surgery (group 1). Six patients (8 eyes) fulfilling absolute and relative criteria for acute retinal necrosis optic neuropathy were treated with intravenous acyclovir as well as optic nerve sheath decompression, and, in addition, some of these patients also underwent vitreoretinal surgery. Despite more pronounced initial visual loss compared with group 1, six eyes in group 2 regained visual acuity of 20/400 or better. In contrast, only 2 of 9 eyes in group 1 maintained their entry level visual acuity, and the visual acuities of the remaining 7 eyes deteriorated to counting fingers or worse. Therefore, the acute optic neuropathy complicating the acute retinal necrosis syndrome appears to benefit from prompt recognition and surgical decompression of the intraorbital optic nerve meninges in conjunction with intravenous acyclovir.
Volume
107
Issue
5
First Page
692
Last Page
696
ISSN
0003-9950
Published In/Presented At
Sergott, R. C., Anand, R., Belmont, J. B., Fischer, D. H., Bosley, T. M., & Savino, P. J. (1989). Acute retinal necrosis neuropathy. Clinical profile and surgical therapy. Archives of ophthalmology (Chicago, Ill. : 1960), 107(5), 692–696. https://doi.org/10.1001/archopht.1989.01070010710032
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
2655568
Department(s)
Administration and Leadership
Document Type
Article