| Bilateral acute retinal necrosis that followed unilateral optic neuropathy. |
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Sang Kook Kim, Se Woong Kang |
1Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, Korea.
2Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. |
| 단안 시신경병증이 선행된 양안 급성망막괴사 1 례 |
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김상국(Sang Kook Kim),강세웅(Se Woong Kang) |
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| Abstract |
PURPOSE
There have been several reports of optic neuropathy preceding acute retinal necrosis(ARN) in patients with acquired immunodeficiency syndrome. We report one case of bilateral ARN that followed unilateral optic neuropathy in otherwise healthy person. METHODS: We report on a previous healthy 54-year old man who developed unilateral optic neuropathy 8 weeks after varicella-zoster dermatitis. Central retinal vascular obstruction developed subsequently in his ipsilateral eye. Later on, classic presentation of ARN appeared in his contralateral eye. RESULTS: The patient was diagnosed with bilateral ARN that followed unilateral optic neuropathy. Intravenous acyclovir stopped the progression of retinitis and resulted in healing of retinal lesions. CONCLUSIONS: ARN is a visually devastating clinical syndrome of which prompt diagnosis and early treatment are important in improvement the overall prognosis. This case suggests that optic neuropathy, especially with preceding shingles, should be suspected as prodrome of ARN which necessitates prompt initiation of antiviral therapy. |
| Key Words:
Acute retinal necrosis;Optic neuropathy;Varicella-zoster |
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