Acute retinal necrosis late in the second trimester.
case_report · Level V
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- Record sourced from PubMed, PMID 9437323.
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Abstract
To report treatment of a patient with acute retinal necrosis during pregnancy. A 24-year-old woman in her twenty-third week of gestation was diagnosed with acute retinal necrosis. A combination of acyclovir and interferon therapy was started at 25 weeks. Pars plana vitrectomy was performed during the 26th week of gestation. The necrotizing retina became gliotic within 3 weeks of surgery. The patient's visual acuity improved to LE, 20/40. A healthy baby was delivered at 39 weeks of gestation. Combination therapy of acyclovir and interferon followed by surgery partially restored the patient's vision without affecting fetal development.
Medical subject headings
- Antiviral Agents
- Eye Infections, Viral
- Herpes Simplex
- Pregnancy Complications, Infectious
- Retinal Necrosis Syndrome, Acute
- Vitrectomy