Focal posterior pole viral retinitis.

Eur J Ophthalmol

1st Ophthalmology Department, Ankara Training and Research Hospital, Ministry of Health, Ankara, Turkey.

Published: October 2010

Purpose: To describe the clinical features of an atypical form of viral retinitis in immunocompetent patients.

Methods: This was a retrospective noncomparative case series. The charts of 8 patients diagnosed with and treated for focal posterior viral retinitis were reviewed. Clinical and demographic features were evaluated. All the patients had extensive laboratory tests, fundus fluorescein angiography, optical coherence tomography of macula, and polymerase chain reaction of vitreous.

Results: All the patients were referred to our Uveitis Service from other hospitals, as their uveitis symptoms deteriorated in spite of treatment. The mean age of 4 male and 4 female patients was 32.1 years (range, 22-42 years). The mean follow-up period was 10 months (range, 6-18 months). All of the patients had unilateral disease. Polymerase chain reaction analysis of vitreous specimen was positive for herpes simplex virus-1 in 5 patients and varicella zoster virus in 3 patients. Retinitis resolved after systemic acyclovir treatment in all patients.

Conclusions: Viral etiology must be borne in mind in the differential diagnosis of atypical retinitis. It can be a milder form of viral retinitis like focal viral retinitis, as mentioned in this study. The prognosis of this disease is better than the other forms of necrotizing retinopathies involving a larger area of retina.

Download full-text PDF

Source
http://dx.doi.org/10.1177/112067211002000518DOI Listing

Publication Analysis

Top Keywords

viral retinitis
20
focal posterior
8
form viral
8
polymerase chain
8
chain reaction
8
retinitis
7
patients
7
viral
6
posterior pole
4
pole viral
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!