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

Ja Young Jung; Tae Gon Lee

doi:10.3341/jkos.2008.49.3.519

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

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

Original Article

J Korean Ophthalmol Soc 2008;49(3):519-524.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.3.519

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

Ja Young Jung, M.D., Tae Gon Lee, M.D.

Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea

Address reprint requests to Tae Gon Lee, M.D. Department of Ophthalmology, Konyang University, Kim's Eye Hospital #156 4ga, Youngdeungpo-dong, Youngdeungpo-gu, Seoul 150-034, Korea Tel: 82-2-2639-7777, Fax: 82-2-2633-3976, E-mail: idoc@netsgo.com

Received 4 January 2007 Accepted 4 September 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Acute retinal necrosis, Surgery therapy

References

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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.

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.

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