Case report “Acute Retinal Necrosis or not?”

Abstract

Acute retinal necrosis (ARN) comprises of epicleritis or scleritis, periorbital pain, uveitis, vitreous opacity, and necrotizing retinitis. ARN is very diffi cult to make diagnosis if patient have several complicated ocular diseases and no views on the fundus examination. In this study, a suspicious ARN case reported here who had a left eye sudden visual loss, periorbital pain, uveitis, vitreous opacity, old choroidal hemorrhage and an area of pale retina (fundus was partially viewed due to cataract and vitreous opacity). A vitrectomy was performed and found vitreous hemorrhage (VH) and a newer choroidal hemorrhage (CH) instead of ARN. Reviews on the clinical fi nding and management of patients with ARN, VA and CH were discussed in this report.