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Necrotizing Herpetic Retinopathy Associated With Ramsay Hunt Syndrome
Arch Ophthalmol. 2002;120:989-990.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Ramsay Hunt syndrome is a herpes zoster infection of cranial nerve VII,
causing facial paralysis, and may also involve cranial nerves VIII, IX, V,
X, and VI, in order of decreasing frequency.1
Necrotizing herpetic retinopathy refers to the spectrum of disease encompassing
acute retinal necrosis and progressive outer retinal necrosis, and consists
of peripheral necrotizing retinitis, vitritis, and retinal arteritis caused
by a herpes virus.2 To our knowledge, we
describe the first case of bilateral necrotizing herpetic retinopathy in an
immunosuppressed patient with Ramsay Hunt syndrome.
Report of a Case
A 38-year-old woman with acquired immunodeficiency syndrome (CD4 cell
count 2 months prior was 214/µL) had vesicular lesions in the distribution
of left cranial nerve V3, left-sided hearing loss, left facial weakness, and
decreased vision in the left eye. Visual acuity with pinhole was 20/25 OD
and 20/30 OS. Slitlamp examination revealed anterior vitreous cells in the
left eye. Results of dilated fundus examination . . . [Full Text of this Article] Comment
Corresponding author: Janet L. Davis, MD, Bascom Palmer Eye Institute,
900 NW 17th St, Miami, FL 33136 (e-mail: jdavis@bpei.med.miami.edu).
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