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Laser Photocoagulation in the Acute Retinal Necrosis Syndrome

Laser Photocoagulation in the Acute Retinal Necrosis Syndrome Abstract • Acute retinal necrosis (ARN) is a syndrome of fulminant necrotizing vasoocclusive retinitis associated with a high incidence of retinal detachment due to retinal breaks and vitreous traction. We performed argon or krypton laser photocoagulation to demarcate areas of active retinitis as prophylaxis against retinal detachment in five patients with ARN. Patients were concomitantly treated with antiviral agents, systemic steroids, and antiplatelet therapy. One patient required multiple additional treatments as retinal necrosis progressed. The retinas remained attached in all five patients over a mean follow-up period of 15 months. By creating a chorioretinal adhesion in areas of potential retinal break formation, laser photocoagulation may be an effective prophylaxis against retinal detachment in ARN. References 1. Urayama A, Yamada N, Sasaki T, et al: Unilateral acute uveitis with periarteritis and detachment . Jpn J Clin Ophthalmol 1971;25:607-619. 2. Willerson D Jr, Aaberg TM, Reeser FH: Necrotizing vaso-occlusive retinitis . Am J Ophthalmol 1977;84:209-219. 3. Young NJA, Bird AC: Bilateral acute retinal necrosis . Br J Ophthalmol 1978;62:581-590.Crossref 4. Price FW Jr, Schlaegel TF Jr: Bilateral acute retinal necrosis . Am J Ophthalmol 1980;89:419-424. 5. Kometani J, Asayama T: A case of specific uveitis occurring acutely in the right eye . Folia Ophthalmol Jpn 1978;29:1397-1401. 6. Bando K, Kinoshita A, Mimura Y: Six cases of so-called 'Kirisawa type' uveitis . Jpn J Clin Ophthalmol 1979;33:1515-1521. 7. Okinami S, Tsukara I: Acute severe uveitis with retinal vasculitis and retinal detachment . Ophthalmologica 1979;179:276-285.Crossref 8. Fisher JP, Lewis ML, Blumenkranz M, et al: The acute retinal necrosis syndrome: I. Clinical manifestations . Ophthalmology 1982;89:1309-1316.Crossref 9. Culbertson WW, Blumenkranz MS, Pepose JS, et al: Varicella zoster virus is a cause of the acute retinal necrosis syndrome . Ophthalmology 1986;93:559-569.Crossref 10. Culbertson WW, Blumenkranz MS, Haines H, et al: The acute retinal necrosis syndrome: II. Histopathology and etiology . Ophthalmology 1982;89:1317-1325.Crossref 11. Sternberg P Jr, Knox DL, Finkelstein D, et al: Acute retinal necrosis syndrome . Retina 1982;2:145-151.Crossref 12. Rungger-Brandle E, Roux L, Leuenberger PM: Bilateral acute retinal necrosis (BARN): Identification of the presumed infectious agent . Ophthalmology 1984;91:1648-1658.Crossref 13. Matsuo T, Date S, Tsuji T, et al: Immune complex containing herpesvirus antigen in a patient with acute retinal necrosis . Am J Ophthalmol 1986;101:368-371. 14. Reese L, Sheu MM, Lee F, et al: Intraocular antibody production suggests herpes zoster is only one cause of acute retinal necrosis (ARN) . Invest Ophthalmol Vis Sci 1986;27( (suppl) ):12. 15. Freeman WR, Thomas EL, Rao NA, et al: Demonstration of herpes group virus in acute retinal necrosis syndrome . Am J Ophthalmol 1986;102:701-709. 16. Clarkson JG, Blumenkranz M, Culbertson WW, et al: Retinal detachment following the acute retinal necrosis syndrome . Ophthalmology 1984;91:1665-1668.Crossref 17. Kreiger AE, in discussion, Clarkson JG, Blumenkranz M, Culbertson WW, et al: Retinal detachment following the acute retinal necrosis syndrome . Ophthalmology 1984;91:1668. 18. Culbertson WW, Clarkson JG, Blumenkranz M, et al: Acute retinal necrosis . Am J Ophthalmol 1983;96:683-685. 19. Blumenkranz MS, Culbertson WW, Clarkson JG, et al: Treatment of the acute retinal necrosis syndrome with intravenous acyclovir . Ophthalmology 1986;93:296-300.Crossref 20. Yeo JH, Pepose JS, Stewart JA, et al: Acute retinal necrosis syndrome following herpes zoster dermatitis . Ophthalmology 1986;93:1418-1422.Crossref 21. Rosecan LR, Stahl-Bayliss CM, Kalman LM, et al: Antiviral therapy for cytomegalovirus in AIDS with dihydroxypropoxymethylguanine . Am J Ophthalmol 1986;101:405-418. 22. Henry K, Cantrill H, Fletcher C, et al: Use of intravitreal ganciclovir (dihydroxy propoxymethyl guanine) for cytomegalovirus retinitis in a patient with AIDS . Am J Ophthalmol 1987;103:17-23. 23. Henderly DE, Freeman WR, Smith RE, et al: Cytomegalovirus retinitis as the initial manifestation of the acquired immune deficiency syndrome . Am J Ophthalmol 1987;103:316-320. 24. Hayreh MMS, Kreiger AE, Straatsma BB, et al: Acute retinal necrosis . Invest Ophthalmol Vis Sci 1980;19( (suppl) ):48. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Laser Photocoagulation in the Acute Retinal Necrosis Syndrome

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References (24)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1987.01060080053027
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Abstract

Abstract • Acute retinal necrosis (ARN) is a syndrome of fulminant necrotizing vasoocclusive retinitis associated with a high incidence of retinal detachment due to retinal breaks and vitreous traction. We performed argon or krypton laser photocoagulation to demarcate areas of active retinitis as prophylaxis against retinal detachment in five patients with ARN. Patients were concomitantly treated with antiviral agents, systemic steroids, and antiplatelet therapy. One patient required multiple additional treatments as retinal necrosis progressed. The retinas remained attached in all five patients over a mean follow-up period of 15 months. By creating a chorioretinal adhesion in areas of potential retinal break formation, laser photocoagulation may be an effective prophylaxis against retinal detachment in ARN. References 1. Urayama A, Yamada N, Sasaki T, et al: Unilateral acute uveitis with periarteritis and detachment . Jpn J Clin Ophthalmol 1971;25:607-619. 2. Willerson D Jr, Aaberg TM, Reeser FH: Necrotizing vaso-occlusive retinitis . Am J Ophthalmol 1977;84:209-219. 3. Young NJA, Bird AC: Bilateral acute retinal necrosis . Br J Ophthalmol 1978;62:581-590.Crossref 4. Price FW Jr, Schlaegel TF Jr: Bilateral acute retinal necrosis . Am J Ophthalmol 1980;89:419-424. 5. Kometani J, Asayama T: A case of specific uveitis occurring acutely in the right eye . Folia Ophthalmol Jpn 1978;29:1397-1401. 6. Bando K, Kinoshita A, Mimura Y: Six cases of so-called 'Kirisawa type' uveitis . Jpn J Clin Ophthalmol 1979;33:1515-1521. 7. Okinami S, Tsukara I: Acute severe uveitis with retinal vasculitis and retinal detachment . Ophthalmologica 1979;179:276-285.Crossref 8. Fisher JP, Lewis ML, Blumenkranz M, et al: The acute retinal necrosis syndrome: I. Clinical manifestations . Ophthalmology 1982;89:1309-1316.Crossref 9. Culbertson WW, Blumenkranz MS, Pepose JS, et al: Varicella zoster virus is a cause of the acute retinal necrosis syndrome . Ophthalmology 1986;93:559-569.Crossref 10. Culbertson WW, Blumenkranz MS, Haines H, et al: The acute retinal necrosis syndrome: II. Histopathology and etiology . Ophthalmology 1982;89:1317-1325.Crossref 11. Sternberg P Jr, Knox DL, Finkelstein D, et al: Acute retinal necrosis syndrome . Retina 1982;2:145-151.Crossref 12. Rungger-Brandle E, Roux L, Leuenberger PM: Bilateral acute retinal necrosis (BARN): Identification of the presumed infectious agent . Ophthalmology 1984;91:1648-1658.Crossref 13. Matsuo T, Date S, Tsuji T, et al: Immune complex containing herpesvirus antigen in a patient with acute retinal necrosis . Am J Ophthalmol 1986;101:368-371. 14. Reese L, Sheu MM, Lee F, et al: Intraocular antibody production suggests herpes zoster is only one cause of acute retinal necrosis (ARN) . Invest Ophthalmol Vis Sci 1986;27( (suppl) ):12. 15. Freeman WR, Thomas EL, Rao NA, et al: Demonstration of herpes group virus in acute retinal necrosis syndrome . Am J Ophthalmol 1986;102:701-709. 16. Clarkson JG, Blumenkranz M, Culbertson WW, et al: Retinal detachment following the acute retinal necrosis syndrome . Ophthalmology 1984;91:1665-1668.Crossref 17. Kreiger AE, in discussion, Clarkson JG, Blumenkranz M, Culbertson WW, et al: Retinal detachment following the acute retinal necrosis syndrome . Ophthalmology 1984;91:1668. 18. Culbertson WW, Clarkson JG, Blumenkranz M, et al: Acute retinal necrosis . Am J Ophthalmol 1983;96:683-685. 19. Blumenkranz MS, Culbertson WW, Clarkson JG, et al: Treatment of the acute retinal necrosis syndrome with intravenous acyclovir . Ophthalmology 1986;93:296-300.Crossref 20. Yeo JH, Pepose JS, Stewart JA, et al: Acute retinal necrosis syndrome following herpes zoster dermatitis . Ophthalmology 1986;93:1418-1422.Crossref 21. Rosecan LR, Stahl-Bayliss CM, Kalman LM, et al: Antiviral therapy for cytomegalovirus in AIDS with dihydroxypropoxymethylguanine . Am J Ophthalmol 1986;101:405-418. 22. Henry K, Cantrill H, Fletcher C, et al: Use of intravitreal ganciclovir (dihydroxy propoxymethyl guanine) for cytomegalovirus retinitis in a patient with AIDS . Am J Ophthalmol 1987;103:17-23. 23. Henderly DE, Freeman WR, Smith RE, et al: Cytomegalovirus retinitis as the initial manifestation of the acquired immune deficiency syndrome . Am J Ophthalmol 1987;103:316-320. 24. Hayreh MMS, Kreiger AE, Straatsma BB, et al: Acute retinal necrosis . Invest Ophthalmol Vis Sci 1980;19( (suppl) ):48.

Journal

Archives of Ophthalmology – American Medical Association

Published: Aug 1, 1987

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