건강한 소아에서 발생한 급성망막괴사 1예

• 영문명: A Case of Acute Retinal Necrosis in Healthy Childhood
• 발행기관: 대한안과학회
• 저자명: 김병선(Byoung Seon Kim) 김지혜(Ji Hye Kim) 한용섭(Yong Seop Han) 정인영(In Young Chung) 박종문(Jong Moon Park)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume57,number1, 125~129쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2016.01.30

영문 초록

Purpose: To describe a case of acute retinal necrosis (ARN) in childhood. Case summary: A 6-year-old child visited our clinic complaining of conjunctival injection and decreased visual acuity in the left eye. Slit-lamp examination showed conjunctival injection, inflammatory cells (4+) in the anterior chamber, and keratic precipitates. Fundus examination showed disc swelling. The patient was treated with 30 mg of oral prednisolone and 1% prednisolone acetate with the suspicion of uveitis. After 2 days, retinal examination showed a peripheral multifocal yellowish patch and retinal hemorrhage. Herpes simplex virus-2 was detected using polymerase chain reaction (PCR) analysis of the aqueous humor, which was obtained by anterior chamber paracentesis. In the present case, ARN in childhood was successfully treated with intravenous acyclovir. Conclusions: We report a case of ARN in childhood diagnosed using PCR. Intravenous acyclovir may be an effective therapy in children with ARN. Ophthalmologists should promptly perform PCR analysis in patients diagnosed with ARN.

키워드

Acute retinal necrosis Herpes simplex virus Polymerase chain reaction