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Progressive outer retinal necrosis after rituximab and cyclophosphamide therapy
Mohit Dogra1, Priya Bajgai1, Ashok Kumar1
1Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian Journal of Ophthalmology
|March 28, 2018
Summary
Progressive outer retinal necrosis (PORN) occurred in a microscopic polyangitis (MPA) patient on immunosuppressants. Varicella Zoster virus reactivation, potentially due to rituximab, caused necrotizing retinitis.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Rheumatology
Background:
- Microscopic polyangitis (MPA) is an autoimmune vasculitis often requiring potent immunosuppressive therapy.
- Immunosuppression, particularly with agents like rituximab and cyclophosphamide, can increase the risk of opportunistic infections.
- Progressive outer retinal necrosis (PORN) is a severe necrotizing retinitis, typically caused by Varicella Zoster virus (VZV).
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