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Acute retinal necrosis late in the second trimester
K Shiraki1, M Moriwaki, S Ataka
1Department of Ophthalmology, Osaka City University Medical School, Japan. shirakik@msci.med.osaka-cu.ac.jp
Purpose:
To report treatment of a patient with acute retinal necrosis during pregnancy.
Methods:
A 24-year-old woman in her twenty-third week of gestation was diagnosed with acute retinal necrosis. A combination of acyclovir and interferon therapy was started at 25 weeks. Pars plana vitrectomy was performed during the 26th week of gestation.
Results:
The necrotizing retina became gliotic within 3 weeks of surgery. The patient's visual acuity improved to LE, 20/40. A healthy baby was delivered at 39 weeks of gestation.
Conclusion:
Combination therapy of acyclovir and interferon followed by surgery partially restored the patient's vision without affecting fetal development.