Acute retinal necrosis (ARN) in the context of neonatal HSV-2 exposure and subconjunctival dexamethasone: case report and literature review

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Fundus photograph of the left eye of a 30-year-old man diagnosed with acute retinal necrosis: retinal appearance at presentation: white confluent areas of necrosis overlie vascular arcades, hemorrhages, and vasculitis.
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Published: May 9, 2013
DOI: https://doi.org/10.5693/djo.02.2013.02.004

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Lindsay McGrath, MBBS
Department of Ophthalmology, Royal Brisbane & Women's Hospital; School of Medicine, University of Queensland, Brisbane
Marion Woods, MD, FRACP
School of Medicine, University of Queensland, Brisbane; Department of Infectious Diseases, Royal Brisbane & Women's Hospital
Lawrence Lee, MBBS, FRANZCO
Department of Ophthalmology, Royal Brisbane & Women's Hospital; School of Medicine, University of Queensland, Brisbane
Diana Conrad, MBBS, FRANZCO
Department of Ophthalmology, Royal Brisbane & Women's Hospital; School of Medicine, University of Queensland, Brisbane

Abstract

HSV-2 is an important cause of the acute retinal necrosis (ARN) syndrome in younger patients. We describe an atypical case of HSV-2 ARN in the context of neonatal exposure and subconjunctival steroid injection. Clinicians should be aware of the association of neonatal or congenital exposure to HSV-2 as a risk factor for this disease because early treatment may improve outcome and/or avoid involvement of both eyes.

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How to Cite
1.
McGrath L, Woods M, Lee L, Conrad D. Acute retinal necrosis (ARN) in the context of neonatal HSV-2 exposure and subconjunctival dexamethasone: case report and literature review. Digit J Ophthalmol. 2013;19(2):28-32. doi:10.5693/djo.02.2013.02.004
Issue
Vol. 19 No. 2 (2013)
Section
Case Reports
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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