Retinal Detachment Following the Acute Retinal Necrosis Syndrome

Clarkson, John G.; Blumenkranz, Mark S.; Culbertson, William W.; Flynn, Harry W.; Lewis, Mary Lou

doi:10.1016/s0161-6420(84)34107-0

Cited by 117 publications

(44 citation statements)

References 11 publications

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“…Herpetic uveitis may be caused by HSV (herpes simplex virus) types I and II and also by types IV and V (9)(10) . The most common presentations of herpetic uveitis are acute retinal necrosis (ARN) (11) or progressive outer retinal necrosis (PORN), which are mainly described in AIDS patients (12) . The ocular manifestations of herpes infection in AIDS patients may occasionally be confused with those of CMV and Toxoplasma gondii and concomitant infection by these agents cannot always be ruled out (6,9,13) .…”

Section: Introductionmentioning

confidence: 99%

Correlation between clinical diagnosis and PCR analysis of serum, aqueous, and vitreous samples in patients with inflammatory eye disease

Matos¹,

Muccioli²,

Belfort³

et al. 2007

Arq. Bras. Oftalmol.

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Section: Introductionmentioning

confidence: 99%

Correlation between clinical diagnosis and PCR analysis of serum, aqueous, and vitreous samples in patients with inflammatory eye disease

Matos¹,

Muccioli²,

Belfort³

et al. 2007

Arq. Bras. Oftalmol.

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Section: Commentmentioning

confidence: 99%

“…2,5,8,9 In spite of aggressive surgical interventions, reattachment rate is low. 6,7,9 Depending on this fact, prophylactic vitrectomy and retinal laser photocoagulation have been suggested in any eye with vitreous traction or opacification to reduce the rate of RD. 2,[6][7][8][9] However, the long-term visual prognosis of ARN syndrome is still poor as a result of its tendency to develop ERM after the operation.…”

Section: Commentmentioning

confidence: 99%

“…2,[6][7][8][9] However, the long-term visual prognosis of ARN syndrome is still poor as a result of its tendency to develop ERM after the operation. 9 Most patients require more than one surgery. 1 Likewise, postoperative ERM development and associated retinal traction occured in our case, which was thought to be the result of excessive amount of retinal pigment epithelium dispersion from the areas of retinal necrosis.…”

Section: Commentmentioning

confidence: 99%

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Prophylactic vitrectomy in acute retinal necrosis syndrome

Berker

Özdal

Soykan

2006

Eye

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CommentInadvertent scleral perforation is a recognized complication of buckling procedures. Previous studies have suggested inadvertent scleral perforation occurring in 6% of patients and are usually associated with high myopia, thin sclera, radial placement of buckle, and reoperation after failed scleral buckling procedure. 4 Modern vitreoretinal surgery is inconceivable without the operating microscope. It has, however, not gained wider acceptance in conventional scleral buckling procedures.Routine use of the operating microscope to secure a scleral buckle offers significant advantages; it facilitates variable magnification with direct illumination and superior stereopsis. A better assessment of the depth of needle pass through the sclera is therefore achieved.Excellent visualization of a scleral quadrant can be facilitated by clipping two adjacent (2/0 black silk) muscle traction sutures to the head drape with the assistant retracting the conjunctiva. Holding a muscle insertion with Moorfield's forceps in the nondominant hand improves proprioceptive input to the dominant hand when placing the suture in the sclera. A 200-mm objective lens on the operating microscope provides sufficient distance between the eye and the microscope to prevent inadvertent desterilization of instruments touching the microscope. When passing circumferentially orientated posterior sutures, the needle holder should be positioned so that the nongrasping end is pointing upwards (towards the microscope).Sutures can be passed forehand and backhand and the technique does require the use of the nondominant hand in certain positions. A degree of ambidexterity can be acquired with practice.During conventional scleral buckling procedure, the surgeon has to move around the table to gain access to the different quadrants of the globe. When using the operating microscope, the surgeon remains in a comfortable seated position all the time. Sitting upright at the operating microscope is also good for posture and less likely to result in back injury.The operating microscope also facilitates trainees as the supervising surgeon assists by looking through the teaching arm of the microscope and has an excellent and equal view of the operation, and can direct advice accordingly. The magnification and illumination also facilitates the trainee in recognizing surgical anatomy and tissue planes.We feel that the low rate of scleral perforation in our study may be owing to the routine use of the operating microscope and would advise others to adopt this method.

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“…3 Our case is unique as there was only evidence of cryptococcal meningitis and absence of concomitant endophthalmitis. Exudative retinal detachment in HIV patients are more commonly related to CMV infection, 4 immune recovery uveitis, acute retinal necrosis, 5 and progressive outer retinal necrosis. 6 We report an unusual case of exudative detachment secondary to cryptococcal infection that responded to systemic anti-fungal therapy.…”

mentioning

confidence: 99%

Cryptococcal-related exudative retinal detachment

Chen

Chai

Teoh

2011

Eye

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Sir, Cryptococcal-related exudative retinal detachmentCryptococcosis is a common fungal infection in immunocompromized individuals. Frequent sites of involvement include the central nervous system, lung, skin, and eyes. We describe an unusual case of bilateral exudative retinal detachment in a HIV patient with cryptococcal meningitis. Case reportA 43-year old HIV-positive Chinese man was referred to the ophthalmology department for right-sided blurring of vision for 3 weeks, associated with headache and neck stiffness. He was on HAART (lamivudine, nevirapine, and stavudine), with trimethoprim/ sulphamethoxazole, clarithromycin, and ethambutol for Mycobacterium avium complex infection. His CD4 count was 104 cells/mm 3 . Visual acuity was 6/24

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Retinal Detachment Following the Acute Retinal Necrosis Syndrome

Cited by 117 publications

References 11 publications

Correlation between clinical diagnosis and PCR analysis of serum, aqueous, and vitreous samples in patients with inflammatory eye disease

Correlation between clinical diagnosis and PCR analysis of serum, aqueous, and vitreous samples in patients with inflammatory eye disease

Prophylactic vitrectomy in acute retinal necrosis syndrome

Cryptococcal-related exudative retinal detachment

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