1. Bilateral Retrobulbar Neuritis Due to Varicella Zoster Preceding Retinal Necrosis in a Patient with AIDS
- Author
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Hazem M. Samy, Ryan Bisbey, Andrew W. Eller, and Denise S. Gallagher
- Subjects
medicine.medical_specialty ,Retinal necrosis ,genetic structures ,Optic tract ,business.industry ,viruses ,Neuritis ,virus diseases ,Progressive outer retinal necrosis ,Retinal ,General Medicine ,medicine.disease ,Dermatology ,eye diseases ,Surgery ,medicine.infectious_disease ,Ophthalmology ,chemistry.chemical_compound ,Acquired immunodeficiency syndrome (AIDS) ,chemistry ,medicine ,Arachnoiditis ,business ,Herpes Zoster Dermatitis - Abstract
Objective: The purpose of this study is to describe a case report of varicella zoster (VZV) infection presenting as bilateral retrobulbar neuritis affecting optic tracts, chiasm, and bilateral optic nerves preceding bilateral progressive outer retinal necrosis in a single patient with AIDS.Methods:The clinical course of a single patient with confirmed VZV infection will be described including presentation, diagnosis, and treatment.Results:The affected patient presented with acute, bilateral vision loss, and headache. The patient’s history was devoid of past, concurrent, or subsequent development of herpes zoster dermatitis. The patient lacked signs of meningeal irritation or infection. Diagnosis of VZV arachnoiditis and retrobulbar optic neuritis were confirmed by radiological and CSF examination and preceded the clinical identification of retinal involvement. Despite early, aggressive treatment with intravenous antiviral and steroids, as well as intravitreal antiviral therapy, complete bilateral visual l...
- Published
- 2009
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