Bilateral acute retinal necrosis after herpetic meningitis

Keisho Hirota1,2, Masayuki Akimoto1,3, Toshiaki Katsura21Department of Ophthalmology, Kyoto Medical Center, National Hospital Organization, 2Internal Medicine, Kyoto Medical Center, 3Clinical Research Center, Kyoto Medical Center, Kyoto, JapanPurpose: The report of a case of bilateral acute retinal...

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Autores principales:	Katsura T, Hirota K, Akimoto M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0084a6081f6c4523b96fcc9273fad8b7
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spelling	oai:doaj.org-article:0084a6081f6c4523b96fcc9273fad8b72021-12-02T06:30:44ZBilateral acute retinal necrosis after herpetic meningitis1177-54671177-5483https://doaj.org/article/0084a6081f6c4523b96fcc9273fad8b72012-04-01T00:00:00Zhttp://www.dovepress.com/bilateral-acute-retinal-necrosis-after-herpetic-meningitis-a9651https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Keisho Hirota1,2, Masayuki Akimoto1,3, Toshiaki Katsura21Department of Ophthalmology, Kyoto Medical Center, National Hospital Organization, 2Internal Medicine, Kyoto Medical Center, 3Clinical Research Center, Kyoto Medical Center, Kyoto, JapanPurpose: The report of a case of bilateral acute retinal necrosis after herpetic meningitis.Case report: A 47-year-old man was admitted with the chief complaint of persistent high fever and transient loss of consciousness. Although his general condition improved after intravenous acyclovir administration, the patient presented with visual loss in both eyes 4 days after admission. Visual acuity in his right eye was 20/200 and his left eye had light perception alone. Both eyes showed panretinal arteritis diagnosed as acute retinal necrosis. Panretinal photocoagulation was performed for both eyes. Progression of retinal detachment was prevented in both eyes; however, visual acuity of the left eye was totally lost because of neovascular glaucoma. Visual acuity of the right eye recovered to 20/20.Conclusion: Although cases of bilateral acute retinal necrosis have been reported after herpetic encephalitis, this condition is rare after herpetic meningitis. Prophylactic acyclovir therapy and early panretinal photocoagulation may prevent retinal detachment and improve the prognosis. Neurologists and ophthalmologists should be aware that not only herpetic encephalitis but also herpetic meningitis can lead to acute retinal necrosis within a very short interval.Keywords: acute retinal necrosis, herpetic meningitis, herpes simplex, varicella zoster virusKatsura THirota KAkimoto MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 551-553 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Katsura T Hirota K Akimoto M Bilateral acute retinal necrosis after herpetic meningitis
description	Keisho Hirota1,2, Masayuki Akimoto1,3, Toshiaki Katsura21Department of Ophthalmology, Kyoto Medical Center, National Hospital Organization, 2Internal Medicine, Kyoto Medical Center, 3Clinical Research Center, Kyoto Medical Center, Kyoto, JapanPurpose: The report of a case of bilateral acute retinal necrosis after herpetic meningitis.Case report: A 47-year-old man was admitted with the chief complaint of persistent high fever and transient loss of consciousness. Although his general condition improved after intravenous acyclovir administration, the patient presented with visual loss in both eyes 4 days after admission. Visual acuity in his right eye was 20/200 and his left eye had light perception alone. Both eyes showed panretinal arteritis diagnosed as acute retinal necrosis. Panretinal photocoagulation was performed for both eyes. Progression of retinal detachment was prevented in both eyes; however, visual acuity of the left eye was totally lost because of neovascular glaucoma. Visual acuity of the right eye recovered to 20/20.Conclusion: Although cases of bilateral acute retinal necrosis have been reported after herpetic encephalitis, this condition is rare after herpetic meningitis. Prophylactic acyclovir therapy and early panretinal photocoagulation may prevent retinal detachment and improve the prognosis. Neurologists and ophthalmologists should be aware that not only herpetic encephalitis but also herpetic meningitis can lead to acute retinal necrosis within a very short interval.Keywords: acute retinal necrosis, herpetic meningitis, herpes simplex, varicella zoster virus
format	article
author	Katsura T Hirota K Akimoto M
author_facet	Katsura T Hirota K Akimoto M
author_sort	Katsura T
title	Bilateral acute retinal necrosis after herpetic meningitis
title_short	Bilateral acute retinal necrosis after herpetic meningitis
title_full	Bilateral acute retinal necrosis after herpetic meningitis
title_fullStr	Bilateral acute retinal necrosis after herpetic meningitis
title_full_unstemmed	Bilateral acute retinal necrosis after herpetic meningitis
title_sort	bilateral acute retinal necrosis after herpetic meningitis
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/0084a6081f6c4523b96fcc9273fad8b7
work_keys_str_mv	AT katsurat bilateralacuteretinalnecrosisafterherpeticmeningitis AT hirotak bilateralacuteretinalnecrosisafterherpeticmeningitis AT akimotom bilateralacuteretinalnecrosisafterherpeticmeningitis
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Bilateral acute retinal necrosis after herpetic meningitis

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