Emerging concepts in the management of acute retinal necrosis

被引：79
作者：
Wong, Robert William [1 ,2 ]
Jumper, J. Michael [2 ]
McDonald, H. Richard [2 ]
Johnson, Robert N. [2 ]
Fu, Arthur [2 ]
Lujan, Brandon J. [2 ,3 ]
Cunningham, Emmett T., Jr. [2 ,4 ]
机构：
[1] Austin Retina Associates, Austin, TX USA
[2] Calif Pacific Med Ctr, Dept Ophthalmol, San Francisco, CA USA
[3] Univ Calif Berkeley, Sch Optometry, Dept Vis Sci, Berkeley, CA USA
[4] Stanford Univ, Sch Med, Dept Ophthalmol, Stanford, CA 94305 USA
来源：
BRITISH JOURNAL OF OPHTHALMOLOGY | 2013年 / 97卷 / 05期
关键词：
POLYMERASE-CHAIN-REACTION; HERPES-SIMPLEX-VIRUS; VARICELLA-ZOSTER-VIRUS; REACTION-BASED ASSAY; ACTIVE-ANTIRETROVIRAL-THERAPY; ANTIBODY-PRODUCTION; CYTOMEGALOVIRUS-RETINITIS; LASER PHOTOCOAGULATION; NECROTIZING RETINITIS; SURGICAL-MANAGEMENT;
D O I：
10.1136/bjophthalmol-2012-301983
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Acute retinal necrosis (ARN), also known as Kirisawatype uveitis, is an uncommon condition caused by infection of the retina by one of the herpes family of viruses, most typically varicella zoster virus or herpes simplex virus and less commonly cytomegalovirus. Clinical diagnosis can be challenging and is often aided by PCR-based analysis of ocular fluids. Treatment typically involves extended use of one or more antiviral agents. Long term retinal detachment risk is high. We review the literature on ARN and present an approach to the diagnosis and management of this serious condition.
引用
收藏
页码：545 / 552
页数：8
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