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Decrease in the risk of bilateral acute retinal necrosis by acyclovir therapy.

D A Palay1, P Sternberg, J Davis

  • 1Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322.

American Journal of Ophthalmology
|September 25, 1991
PubMed
Summary
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Acyclovir treatment significantly protects the fellow eye from acute retinal necrosis (ARN). Patients receiving acyclovir had a much lower risk of developing ARN in their second eye compared to untreated patients.

Area of Science:

  • Ophthalmology
  • Virology
  • Infectious Diseases

Background:

  • Acute retinal necrosis (ARN) is a severe viral retinitis.
  • Unilateral ARN poses a risk of contralateral eye involvement.

Purpose of the Study:

  • To evaluate the efficacy of acyclovir in preventing fellow eye involvement in patients with unilateral ARN.

Main Methods:

  • Retrospective review of 54 patients with unilateral ARN.
  • Comparison of fellow eye disease-free rates between patients treated with acyclovir and those not treated.
  • Survival analysis to assess the impact of acyclovir on fellow eye protection.

Main Results:

  • Acyclovir-treated patients (n=31) had an 87.1% disease-free fellow eye rate versus 30.4% in untreated patients (n=23).

Related Experiment Videos

  • Survival analysis showed a significantly higher likelihood of fellow eye protection with acyclovir (P = .0013).
  • Two-year disease-free rates were 75.3% with acyclovir vs. 35.1% without.
  • Conclusions:

    • Acyclovir treatment is associated with a reduced risk of fellow eye involvement in ARN.
    • Early initiation of acyclovir may be crucial for preventing contralateral ARN.
    • This study supports the use of acyclovir for managing unilateral ARN.