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1996-02-27
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Document 0439
DOCN M9630439
TI [Post-varicella acute retinal necrosis]
DT 9603
AU Ehongo-Bidime A; Pereleux A; Zanen A; Service d'ophtalmologie, Hopital
Erasme, Universite Libre de; Bruxelles.
SO Bull Soc Belge Ophtalmol. 1995;255:61-8. Unique Identifier : AIDSLINE
MED/96090860
AB A man aged 43 in good health complaints of sudden blurred vision in his
right eye, 12 days after a generalized chickenpox eruption. Examination
shows an intraocular inflammation with retinal necrosis in temporal
periphery. The serum antibodies against varicella-zoster are positive
for the IgM and IgG, confirming a recent infection by varicella zoster.
Bacterial serology is negative, as well as the serology for the HSV, HIV
and CMV. An intraocular production of anti varicella-zoster antibodies
is also found by an anterior chamber puncture (Goldmann-Witmer ratio =
1338). A general treatment by acyclovir and corticoids is started,
completed by local treatment and cryocoagulation of the retinal
periphery. The evolution is favorable, with recovery of the visual
acuity and cicatrization of the lesions. The severity of acute retinal
necrosis as a complication of a chickenpox infection usually is
moderate, with a good visual prognosis as by our patient.
DE Acyclovir/ADMINISTRATION & DOSAGE Adrenal Cortex
Hormones/ADMINISTRATION & DOSAGE Adult Antibodies, Viral/ISOLATION &
PURIF Case Report Chickenpox/*COMPLICATIONS Cryosurgery Drug
Therapy, Combination English Abstract Human Male Retinal Necrosis
Syndrome, Acute/*ETIOLOGY/IMMUNOLOGY/THERAPY Vision Disorders/*ETIOLOGY
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).