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Anterior Uveitis After Healed Acute Retinal Necrosis
Arch Ophthalmol. 2002;120:88-90.
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Acute retinal necrosis (ARN) is a viral retinitis occurring predominantly
in immunocompetent persons. Clinical diagnosis is based on the presence of
1 or more peripheral foci of retinal necrosis that show rapid circumferential
progression and often result in early retinal detachment. Characteristically,
the active phase is associated with anterior chamber inflammation and vitritis.
We report a series of cases in which recurrent anterior uveitis (AU) occurred
in the absence of recurrence of posterior segment inflammatory activity or
retinitis, after the initial episode of healed ARN. No patient was infected
with human immunodeficiency virus. All patients responded to treatment with
topical corticosteroids and mydriatics, without recourse to further antiviral
treatment; they did not commonly experience a subsequent attack of ARN. To
our knowledge, this is the first report of isolated recurrent AU following
healed ARN.
Acute retinal necrosis is a fulminant viral retinitis first described
in 1971 by Urayama et al1 . . . [Full Text of this Article] Report of Cases
Comment
Corresponding author: Susan Lightman, PhD, FRCP, FRCOphth, Department
of Clinical Ophthalmology, Institute of Ophthalmology, Moorfields Eye Hospital,
City Road, London EC1V 2PD, England (e-mail: s.lightman@ucl.ac.uk).
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Arch Ophthalmol 2004;122:922-923.
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