J Korean Ophthalmol Soc.  2008 Mar;49(3):519-524. 10.3341/jkos.2008.49.3.519.

Vitrectomy and Silicone Oil Tamponade to Prevent Retinal Detachment in Severe Acute Retinal Necrosis Syndrome

• Jung JY
• Lee TG

• KMID: 2211329
• DOI: http://doi.org/10.3341/jkos.2008.49.3.519

Abstract

PURPOSE: We report the results in two patients received prophylactic surgery to prevent retinal detachment in the severe acute retinal necrosis.
CASE SUMMARY
Two patients in whom the presumptive diagnosis of the severe acute retinal necrosis were concomitantly treated with antiviral agents, systemic steroids and anti platelet therapy. We performed vitrectomy and silicone oil tamponade as the prophylactic surgical procedure for retinal detachments. The retinas remained attached in all patients over a follow up periods.
CONCLUSIONS
Retinal detachment secondary to acute retinal necrosis has a complex nature and usually results in severe visual loss. A combination of vitrectomy and silicone oil tamponade may be effective prophylaxes against retinal detachment in acute retinal necrosis.

Keyword

Acute retinal necrosis; Surgery therapy

MeSH Terms

Antiviral Agents
Blood Platelets
Follow-Up Studies
Humans
Retina
Retinal Detachment
Retinal Necrosis Syndrome, Acute
Retinaldehyde
Silicone Oils
Steroids
Vitrectomy
Antiviral Agents
Retinaldehyde
Silicone Oils
Steroids

Figure

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  Figure 1. Initial fundus photographs of the left eye (Case 1) show confluent areas of peripheral retinal whitening with overlying retinal hemorrhages and prominent vascular sheathing.

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  Figure 2. Fundus photographs of the left eye (Case 1). Seven months after surgery. Retina remained attached well. The posterior margin of diseased retina appeared demarcated by laser scars. No retinal breaks within the areas of retinal necrosis were seen.

Reference

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