Necrosis retiniana aguda por virus herpes simplex tipo 1 dos años después de meningoencefalitis presuntamente herpética
- E Díaz de Durana Santa Coloma
- E Vázquez Cruchaga
- JL Salazar Díez
- JA López Garrido
ISSN: 0365-6691
Year of publication: 2004
Volume: 79
Issue: 1
Pages: 33-35
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Sustainable development goals
Abstract
Case report: We report the case of a 53-year-old woman with uveitis in her right eye. She suffered from meningoencephalitis two years before. In the ophthalmic examination she showed no light perception, mild anterior uveitis and severe vitritis, which prevented from visualizing the retina. We suspected herpetic acute retinal necrosis (ARN), so therapy with intravenous acyclovir was started and a diagnostic vitrectomy was performed. Peripheral retinal necrosis and pallor of the optic disc were observed. PCR of the vitreous was positive for herpes simplex virus type I. Discussion: This is probably a case of brain-to-eye virus transmission. According to this, the ARN would support the etiologic suspicion of the previous encephalitis.
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