Detalhes bibliográficos
| Resumo: | Our aim was to report a case of bilateral acute retinal necrosis (ARN). An asymptomatic 41-year-old female with history of AIDS was referred for screening of ocular manifestations of HIV. Patient had a BCVA of 20/40 OU. Slit-lamp examination showed bilateral inflammatory reaction of the anterior chamber. Fundus examination revealed bilateral necrotizing retinitis with retinal hemorrhages. Aqueous humor puncture was positive for VZV. A bilateral ARN was diagnosed and intravenous acyclovir and foscarnet intravitreal injections were initiated. Patient developed a rhegmatogenous retinal detachment in OD within a week. Vitrectomy with endolaser and silicone oil tamponade was performed. Within four months, BCVA was 20/200 in OD and 20/50 in OS and inflammation was controlled. ARN may be asymptomatic in immunocompromised patients and progress even with treatment. A regular ophthalmologic evaluation is recommended in patients with AIDS, even in the absence of symptoms. |
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| Autores principais: | Carreira, Ana Rita |
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| Outros Autores: | Paris, Arianna; Cardoso, João; Toutee, Adelaide; Bodaghi, Bahram |
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| Assunto: | Casos Clínicos |
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| Ano: | 2022 |
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| País: | Portugal |
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| Tipo de documento: | relatório |
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| Tipo de acesso: | acesso aberto |
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| Instituição associada: | Sociedade Portuguesa de Oftalmologia |
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| Idioma: | inglês |
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| Origem: | Revista Sociedade Portuguesa de Oftalmologia |
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