Optic nerve involvement in the acute retinal necrosis syndrome
R. C. Sergott, J. B. Belmont, P. J. Savino, D. H. Fischer, T. M. Bosley and N. J. Schatz
Two patients with acute retinal necrosis syndrome demonstrated enlarged
computed tomographic images of the optic nerves, a previously undescribed
manifestation of this disorder to the best of our knowledge. One patient,
with the bilateral variety of this syndrome, demonstrated bilateral optic
nerve enlargement and, in one eye, appeared to achieve visual improvement
following an optic nerve sheath decompression. The second patient, with the
unilateral variety of the syndrome, demonstrated only unilateral optic
nerve enlargement. These observations suggest that the intraorbital optic
nerve may be primarily or secondarily involved in the acute retinal
necrosis syndrome.
