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Acute retinal necrosis.

M D Carney, G A Peyman, M F Goldberg

    Retina (Philadelphia, Pa.)
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    This study shows that combining vitrectomy with acyclovir and scleral buckling effectively treats acute retinal necrosis, restoring anatomy and improving vision in most patients. Early diagnosis and treatment are crucial for optimal outcomes.

    Area of Science:

    • Ophthalmology
    • Virology

    Background:

    • Acute retinal necrosis (ARN) is a severe viral retinitis that can lead to vision loss.
    • Prompt diagnosis and treatment are essential to prevent complications such as retinal detachment.

    Observation:

    • Five patients with acute ARN underwent pars plana vitrectomy with intravitreal acyclovir and a 360-degree scleral buckle, following intravenous acyclovir therapy.
    • This combined surgical and medical approach was employed in the acute stages of the disease.

    Findings:

    • All five patients achieved anatomic reattachment of the retina.
    • Four out of five patients experienced an improvement in visual acuity compared to their preoperative levels.

    Implications:

    • The findings suggest that a comprehensive treatment strategy including early diagnosis, intravenous and intravitreal acyclovir, vitrectomy, and scleral buckling is effective for ARN.

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  • This approach can lead to successful retinal reattachment and visual recovery in patients with acute retinal necrosis.