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KMID : 0360220160570010125
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Journal of the Korean Ophthalmological Society
2016 Volume.57 No. 1 p.125 ~ p.129
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A Case of Acute Retinal Necrosis in Healthy Childhood
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김병선:Kim Byoung-Seon
김지혜:Kim Ji-Hye/한용섭:Han Yong-Seop/정인영:Chung In-Young/박종문:Park Jong-Moon
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Abstract
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Purpose: To describe a case of acute retinal necrosis (ARN) in childhood.
Case summary: A 6-year-old child visited our clinic complaining of conjunctival injection and decreased visual acuity in the left eye. Slit-lamp examination showed conjunctival injection, inflammatory cells (4+) in the anterior chamber, and keratic precipitates. Fundus examination showed disc swelling. The patient was treated with 30 mg of oral prednisolone and 1% prednisolone acetate with the suspicion of uveitis. After 2 days, retinal examination showed a peripheral multifocal yellowish patch and retinal hemorrhage. Herpes simplex virus-2 was detected using polymerase chain reaction (PCR) analysis of the aqueous humor, which was obtained by anterior chamber paracentesis. In the present case, ARN in childhood was successfully treated with intravenous acyclovir.
Conclusions: We report a case of ARN in childhood diagnosed using PCR. Intravenous acyclovir may be an effective therapy in children with ARN. Ophthalmologists should promptly perform PCR analysis in patients diagnosed with ARN.
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KEYWORD
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Acute retinal necrosis, Herpes simplex virus, Polymerase chain reaction
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