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Arch Ophthalmol. 1998;116:1249.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Progressive outer retinal necrosis (PORN) is a distinct variant of herpetic necrotizing retinopathy caused by the varicella zoster virus that has been seen almost exclusively in patients with end-stage acquired immunodeficiency syndrome. Progressive outer retinal necrosis is characterized by initial geographic opacification of the deep peripheral retina without prominent vasculitis or vitritis followed by rapid progression to involve the entire retina.¹ The prognosis is dismal; the visual acuity in most eyes becomes no light perception despite the institution of antiviral therapy, although there are several case reports of successful treatment if initiated early.

We describe a patient with rheumatoid arthritis who had a clinical presentation and course consistent with PORN.

Report of a Case

A 62-year-old woman was seen with a 3-day history of progressive vision loss first in the left eye and then in the right eye. Review of systems revealed a 2-week history of fatigue and weakness/paresthesias in her left leg. Her . . . [Full Text of this Article]

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