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Posterior fundus lesion masqueraded in a case with acute retinal necrosis Masaaki Okuma 1 , Hiroyuki Matsuura 1 , Masayuki Funada 1 , Kenji Osada 1 , Masao Nagata 1 , Shoji Nakanishi 1 1Dept of Ophthalmol, Sch of Med Tottori Univ pp.347-350
Published Date 1989/3/15
DOI https://doi.org/10.11477/mf.1410210664
  • Abstract
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We observed a highterto healthy 43-year-old female who developed ocular pain and acute visual failure in her left eye the day before. We detected yellowish-white opacity and blotch hemorrhages temporal to the macula in the affected eye. Vitre-ous opacity and aqueous flare were also present. The peripheral retina was free of pathological changes.

In spite of treatment with systemic corticosteroid and acyclovir, the fundus lesion developed into typical findings of acute retinal necrosis and into total retinal detachment 40 days later.

Immunoglobulin G titers for varicella zoster virus and cytomegalovirus remained stationary throughout the course of the disease. The titer for herpes simplex virus type I (HSV- I) was ini-tially 160 in the serum and 20 in the aqueous, which increased to 320 and 160 respectively later. The finding suggested that HSV- I might be involved in the pathogenesis in this patient.


Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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