A Case of Acute Retinal Necrosis Following Herpes Simplex Virus (HSV) Encephalitis.

An, Tae Su; Kwon, Soon Il; Hwang, Duck Jin; Park, In Won

doi:2012.53.8.1186

J Korean Ophthalmol Soc > Volume 53(8); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(8):1186-1189.
DOI: https://doi.org/10.3341/jkos.2012.53.8.1186 Published online August 15, 2012.

A Case of Acute Retinal Necrosis Following Herpes Simplex Virus (HSV) Encephalitis.

Tae Su An, Soon Il Kwon, Duck Jin Hwang, In Won Park

¹Department of Ophthalmology, Hallym University College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. piw@korea.com
²Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

헤르페스 뇌염 후 발생한 급성망막괴사 증례보고 1예

안태수¹⋅권순일¹⋅황덕진²⋅박인원¹

Department of Ophthalmology, Hallym University College of Medicine, Hallym University Sacred Heart Hospital¹, Anyang, Korea
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital², Seongnam, Korea

Abstract

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.

Key Words: Acute retinal necrosis;Herpes simplex virus;Herpetic encephalitis