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Pattern of Acute Retinal Necrosis in a Referral Center in Tunisia, North Africa.
- Source :
- Ocular Immunology & Inflammation; Oct2015, Vol. 23 Issue 5, p371-377, 7p
- Publication Year :
- 2015
-
Abstract
- <bold>Purpose: </bold>To describe the pattern of acute retinal necrosis (ARN) syndrome in a referral center in Tunisia.<bold>Methods: </bold>Retrospective review of the charts of 12 patients (12 eyes).<bold>Results: </bold>Necrotizing retinitis involved >50% of the retina in 33.3% of eyes. Polymerase chain reaction on aqueous humor sample identified herpes simplex virus-1 in 4 eyes (33.3%) and varicella zoster virus in 3 eyes (25%), and was negative in 5 eyes (41.7%). All patients received intravenous acyclovir, followed by oral antivirals. Follow-up ranged from 6 to 16 months. Retinal detachment (RD) occurred in 3 eyes (25%), but no patient developed bilateral ARN. Final visual acuity was 20/200 or worse in 7 eyes (58.3%). Delay in diagnosis (p = 0.015), macular involvement (p = 0.045), development of RD (p = 0.018), and 25-50% of retinal involvement (p = 0.045) were associated with a worse visual outcome.<bold>Conclusion: </bold>ARN carries poor visual prognosis in Tunisia. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09273948
- Volume :
- 23
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Ocular Immunology & Inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 110400394
- Full Text :
- https://doi.org/10.3109/09273948.2014.925125