Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
DOI:
https://doi.org/10.48560/rspo.26499Keywords:
Acquired Immunodeficiency Syndrome/complications, Retinal Necrosis Syndrome, Acute/diagnosis, Retinal Necrosis Syndrome, Acute/therapyAbstract
Our aim was to report a case of bilateral acute retinal necrosis (ARN).
An asymptomatic 41-year-old female with history of AIDS was referred for screening of ocular manifestations of HIV. Patient had a BCVA of 20/40 OU. Slit-lamp examination showed bilateral inflammatory reaction of the anterior chamber. Fundus examination revealed bilateral necrotizing retinitis with retinal hemorrhages. Aqueous humor puncture was positive for VZV. A bilateral ARN was diagnosed and intravenous acyclovir and foscarnet intravitreal injections were initiated. Patient developed a rhegmatogenous retinal detachment in OD within a week. Vitrectomy with endolaser and silicone oil tamponade was performed. Within four months, BCVA was 20/200 in OD and 20/50 in OS and inflammation was controlled.
ARN may be asymptomatic in immunocompromised patients and progress even with treatment. A regular ophthalmologic evaluation is recommended in patients with AIDS, even in the absence of symptoms.
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