Int Ophthalmol (2018) 38:1329–1332 https://doi.org/10.1007/s10792-017-0555-x CASE REPORT Bilateral acute retinal necrosis after bilateral cataract surgery in an immunocompromised patient: a case report . . . . Chun Yue Mak Helena Pui-Yee Sin Mary Ho Vesta Cheuk-Ki Chan Alvin Lerrmann Young Marten Erik Brelen Received: 23 October 2016 / Accepted: 10 May 2017 / Published online: 23 May 2017 Springer Science+Business Media Dordrecht 2017 Abstract Conclusions Cataract surgery may have been the Purpose To report a case of bilateral varicella zoster trigger for bilateral VZV-associated ARN. Immuno- virus (VZV)-associated acute retinal necrosis (ARN) compromised patients can develop ARN and require occurring after both eyes sequential cataract surgery in close observation after cataract surgery. This is, to our an elderly immunocompromised patient. knowledge, the ﬁrst report of bilateral ARN following Methods Medical records and investigation results routine cataract surgery. of the patient were reviewed. Results Patient experienced ﬂoaters and blurring of Keywords Acute retinal necrosis Cataract surgery vision in both eyes 4 weeks after her second uncom- Immunocompromised Varicella zoster virus plicated cataract surgery. Clinical signs of granulo- matous keratic precipitates, prominent vitritis, retinitis and vascular thrombosis were noted in both eyes. Aqueous samples from both eyes were positive
International Ophthalmology – Springer Journals
Published: May 23, 2017
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