Journal List > J Korean Ophthalmol Soc > v.49(3) > 1008222

Jung and Lee: Vitrectomy and Silicone Oil Tamponade to Prevent Retinal Detachment in Severe Acute Retinal Necrosis Syndrome

Abstract

Purpose

We report the results in two patients received prophylactic surgery to prevent retinal detachment in the severe acute retinal necrosis.

Case summary

Two patients in whom the presumptive diagnosis of the severe acute retinal necrosis were concomitantly treated with antiviral agents, systemic steroids and anti‐ platelet therapy. We performed vitrectomy and silicone oil tamponade as the prophylactic surgical procedure for retinal detachments. The retinas remained attached in all patients over a follow‐ up periods.

Conclusions

Retinal detachment secondary to acute retinal necrosis has a complex nature and usually results in severe visual loss. A combination of vitrectomy and silicone oil tamponade may be effective prophylaxes against retinal detachment in acute retinal necrosis.

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Figure 1.
Initial fundus photographs of the left eye (Case 1) show confluent areas of peripheral retinal whitening with overlying retinal hemorrhages and prominent vascular sheathing.
jkos-49-519f1.tif
Figure 2.
Fundus photographs of the left eye (Case 1). Seven months after surgery. Retina remained attached well. The posterior margin of diseased retina appeared demarcated by laser scars. No retinal breaks within the areas of retinal necrosis were seen.
jkos-49-519f2.tif
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