Acute retinal necrosis in a patient with one seeing eye and reactivated herpesviral infection. A case report
https://doi.org/10.21516/2072-0076-2022-15-2-160-166
Abstract
We present a brief description of acute retinal necrosis, a rare and severe condition that is accompanied by a rapid development of inflammatory and occlusive events in the retinal vasculature preceding peripheral necrotizing retinitis. Despite successful etiotropic conservative therapy, the disease is complicated by proliferative vitreoretinopathy with a high risk of retinal detachment, leading to irreversible loss of sight. We present a clinical case of acute retinal necrosis in a patient with one seeing eye who experienced a reactivation of herpes simplex virus type 2 infection, discussing the treatment details and result.
Supporting agencies: No author has a financial or property interest in any material or method mentioned
About the Authors
V. V. Neroev
Helmholtz National Medical Research Center for Eye Diseases; RAS
Russian Federation
Russian Federation
Vladimir V. Neroev, academician, Dr. of Med. Sci., professor, director, head of department
retina and optic nerve pathology department
105062
14/19, Sadovaya-Chernogryazskaya St.
Moscow
O. V. Zaytseva
Helmholtz National Medical Research Center for Eye Diseases
Russian Federation
Russian Federation
Olga V. Zaytseva, Сand. of Med. Sci., deputy director, leading researcher
department of retina and optic nerve pathology
105062
14/19, Sadovaya-Chernogryazskaya St.
Moscow
N. E. Shvetzova
Helmholtz National Medical Research Center for Eye Diseases
Russian Federation
Russian Federation
Nadezhda E. Shvetzova, Cand. of Med. Sci., researcher
department of retina and optic nerve pathology
105062
14/19, Sadovaya-Chernogryazskaya St.
Moscow
P. A. Ilyukhin
Helmholtz National Medical Research Center for Eye Diseases
Russian Federation
Russian Federation
Pavel A. Ilyukhin, Cand. of Med. Sci., researcher
department of retina and optic nerve pathology
105062
14/19, Sadovaya-Chernogryazskaya St.
Moscow
S. V. Milash
Helmholtz National Medical Research Center for Eye Diseases
Russian Federation
Russian Federation
Sergei V. Milash, Cand. of Med. Sci., researcher
department of refraction, binocular vision and ophtalmoergonomics pathology
105062
14/19, Sadovaya-Chernogryazskaya St.
Moscow
I. V. Myshko
Helmholtz National Medical Research Center for Eye Diseases
Russian Federation
Russian Federation
Ilia V. Myshko, resident doctor
105062
14/19, Sadovaya-Chernogryazskaya St.
Moscow
References
1. Urayama A., Yamada N., Sasaki T., et al. Unilateral acute uveitis with retinal periarteritis and detachment. Jpn. J. Clin. Ophthalmol. 1971; 25: 607–19.
2. Young N. J., Bird A. C. Bilateral acute retinal necrosis. Br. J. Ophthalmol. 1978; 62 (9): 581–90. https://doi.org/10.1136/bjo.62.9.581
3. Bergstrom R., Tripathy K. Acute Retinal Necrosis. [Updated 2021 Aug 21]. In: Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470588.
4. Or C., Press N., Forooghian F. Acute retinal necrosis secondary to cytomegalovirus following successful treatment of cytomegalovirus anterior uveitis in an immunocompetent adult. Can. J. Ophthalmol. 2013; 48 (2): e18-e20. https://doi.org/10.1016/j.jcjo.2012.09.016
5. Babiuch A. S., Ravage Z. B., Merrill P. T. Cytomegalovirus acute retinal necrosis in an immunocompetent patient after sub-tenon triamcinolone injection. Retin. Cases Brief Rep. 2010; 4 (4): 364–5. https://doi.org/10.1097/ICB.0b013e3181b5ef2a
6. Sims J. L., Zamir E. Acute retinal necrosis following steroid treatment for unrecognized Ramsay-Hunt syndrome. Clin. Exp. Ophthalmol. 2008; 36 (9): 894–5. doi:10.1111/j.1442-9071.2009.01923.x
7. Saatci A. O., Ayhan Z., Arikan G., Sayiner A., Ada E. Unilateral acute retinal necrosis in a multiple sclerosis patient treated with high-dose systemic steroids. Int. Ophthalmol. 2010; 30 (5): 629–32. doi:10.1007/s10792-010-9380-1
8. Cochrane T. F., Silvestri G., McDowell C., Foot B., McAvoy C. E. Acute retinal necrosis in the United Kingdom: results of a prospective surveillance study. Eye (Lond). 2012; 26 (3): 370–8. https://doi.org/10.1038/eye.2011.338
9. Muthiah M. N., Michaelides M., Child C. S., Mitchell S. M. Acute retinal necrosis: a national population-based study to assess the incidence, methods of diagnosis, treatment strategies and outcomes in the UK. Br. J. Ophthalmol. 2007; 91 (11): 1452–5. https://doi.org/10.1136/bjo.2007.114884
10. Neroev V. Tankovskiy V., Krichevskaia G. Serological evaluation of the immune status of patients with acute retinal necrosis. In: 9th International Symposium on Uveitis. 2016: 81–2.
11. Zhao X. Y., Meng L. H., Zhang W. F., Wang D. Y., Chen Y. X. Retinal detachment after acute retinal necrosis and the efficacies of different interventions: A Systematic Review and Metaanalysis. Retina. 2021; 41 (5): 965–78. https://doi.org/10.1097/IAE.0000000000002971
12. Iwahashi-Shima C., Azumi A., Ohguro N., et al. Acute retinal necrosis: factors associated with anatomic and visual outcomes. Jpn. J. Ophthalmol. 2013; 57 (1): 98–103. doi:10.1007/s10384-012-0211-y
13. Thau A., Taney L., Adam M. Acute Retinal Necrosis. [Updated 2021 Aug 4]. Available from: https://eyewiki.aao.org/Acute_Retinal_Necrosis. 2021.
14. Нероев В. В. Алгоритм ведения хирургических больных с острым некрозом сетчатки / В. В. Нероев [и др.] // Российский офтальмологический журнал. – 2018. – 11 (4): 29–35. [Neroev V. V., Ilyukhin P. A., Tankovsky V. E., Fedotov R. A. An algorithm for managing surgical patients with acute retinal necrosis. Russian ophthalmological journal. 2018; 11 (4): 29–35 (in Russian)]. doi: 10.21516/2072-0076-2018-11-4-29-35
15. Нероев В. В. Результаты хирургического лечения острого некроза сетчатки / В. В. Нероев [и др.] // Российский офтальмологический журнал. – 2018. – 11 (1): 5-11. [Neroev V. V., Ilyukhin P. A., Fedotov R. A., Tankovsky V. E. Results of surgical treatment of acute retinal necrosis. Russian ophthalmological journal. 2018; 11 (1): 5–11 (in Russian)]. doi: 10.21516/2072-0076-2018-11-1-5-11
16. Hillenkamp J., Nolle B., Bruns C., et al. Acute retinal necrosis: clinical features, early vitrectomy, and outcomes. Ophthalmology. 2009; 116: 1971–5. https://doi.org/10.1016/j.ophtha.2009.03.029
17. Schoenberger S. D., Kim S. J., Thorne J. E., et al. Diagnosis and Treatment of Acute Retinal Necrosis: A Report by the American Academy of Ophthalmology. Ophthalmology. 2017; 124 (3): 382–92. https://doi.org/10.1016/j.ophtha.2016.11.007
18. Luo Y. H., Duan X. C., Chen B. H., Tang L. S., Guo X. J. Efficacy and necessity of prophylactic vitrectomy for acute retinal necrosis syndrome. Int. J. Ophthalmol. 2012; 5 (4): 482–7. https://doi.org/10.3980/j.issn.2222-3959.2012.04.15
19. Matsuo T. Timing of prophylactic and early vitrectomy for first-presenting or recurrent acute retinal necrosis syndrome. Acta Med. Okayama. 2012; 66 (6): 493–7. https://doi.org/10.18926/AMO/49046
20. Navarro-Navarro A., Martinez-Toldos J. J., Tarazona-Jaimes C. P., Fernandez-Martinez C., Baeza-Diaz M. V. Presumed bilateral acute retinal necrosis 11 years apart, atypical presentation, and early vitrectomy. Eur. J. Ophthalmol. 2015; 25 (5): e81-e83. https://doi.org/10.5301/ejo.5000596
21. Berker N., Ozdal P., Batman C., Soykan E. Prophylactic vitrectomy in acute retinal necrosis syndrome. Eye (Lond). 2007; 21 (1): 104–6. https://doi.org/10.1038/sj.eye.6702410
Review
For citations:
Neroev V.V., Zaytseva O.V., Shvetzova N.E., Ilyukhin P.A., Milash S.V., Myshko I.V. Acute retinal necrosis in a patient with one seeing eye and reactivated herpesviral infection. A case report. Russian Ophthalmological Journal. 2022;15(2):160-166. (In Russ.) https://doi.org/10.21516/2072-0076-2022-15-2-160-166
Views:
771
Email this article 