Acute Retinal Necrosis Syndrome: Case Report and Literature Review
Published: 2020-01-31
Page: 10-15
Issue: 2020 - Volume 3 [Issue 1]
M. Essakhi *
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
B. Jatik
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
I. Er-rachiq
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
A. Mchachi
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
L. Benhmidoune
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
A. Chakib
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
R. Rachid
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
M. Elbelhadji
Department of Adult Ophthalmology, Faculty of Medicine and Pharmacy, University of Hassan II Casablanca, Hospital 20 August 1953, Ibn Rochd UHC, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Acute retinal necrosis (ARN syndrome) is a rare syndrome; the germs involved belong to the herpes virus family. Complications include cystoid macular edema and retinal detachment, which is a frequent complication with a poor prognosis. We report the case of an immunocompetent patient with unilateral acute retinal necrosis due to VZV. The drop in visual acuity was brutal. Intravenous antiviral and anti-inflammatory therapy was initiated on an emergency basis, followed by oral maintenance therapy. The patient was complicated during this treatment by cystoid macular edema treated with retrobulbar steroids injections. The Knowledge of this condition, which diagnosis is essentially clinical, is necessary in order to avoid the extension of retinal necrosis and to prevent the reccurrence of complications.
Keywords: Acute retinal necrosis, herpes simplex virus, varicella zoster virus, macular edema.