헤르페스 뇌염 후 발생한 급성망막괴사 증례보고 1예

• 영문명: A Case of Acute Retinal Necrosis Following Herpes Simplex Virus (HSV) Encephalitis
• 발행기관: 대한안과학회
• 저자명: 안태수 권순일 황덕진 박인원,Tae Su An, MD, Soon Il Kwon, MD, Duck Jin Hwang, MD, In Won Park, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number8, 1186~1189쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.08.15

영문 초록

Purpose: To report a case of unilateral acute retinal necrosis (ARN) following herpes simplex virus (HSV) encephalitis. Case summary: A 19-year-old man previously diagnosed with HSV encephalitis presented with a headache and visual loss in his left eye. On the initial visit, slit-lamp examination showed conjunctival injection and inflammatory cells (3+) in the anterior chamber of the left eye. Funduscopic examination showed optic disc swelling, multiple yellow-whitish spots in the peripheral retina and retinal vascular sheathing. After the patient was diagnosed with ARN, intravenous acyclovir (1,500 mg/m2/day) was administered. Because retinal detachment and multiple retinal breaks were found during the treatment period, the authors performed barrier laser treatment in the peripheral retina. At that time, no retinal necrosis was observed in the patient’s right eye. The retinal lesions regressed, and no new retinal lesion was observed in the left eye, during the follow-up period. Conclusions: We report a case of ARN in a patient with HSV encephalitis. Ophthamologist should perform a thorough ophthalmic examination in a patient diagnosed with HSV encephalitis. J Korean Ophthalmol Soc 2012;53(8):1186-1189

키워드

Acute retinal necrosis, Herpes simplex virus, Herpetic encephalitis