Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study

Detalhes bibliográficos
Autor(a) principal: Carreira, Ana Rita
Data de Publicação: 2022
Outros Autores: Paris, Arianna, Cardoso, João, Toutee, Adelaide, Bodaghi, Bahram
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.48560/rspo.26499
Resumo: Our aim was to report a case of bilateral acute retinal necrosis (ARN). An asymptomatic 41-year-old female with history of AIDS was referred for screening of ocular manifestations of HIV. Patient had a BCVA of 20/40 OU. Slit-lamp examination showed bilateral inflammatory reaction of the anterior chamber. Fundus examination revealed bilateral necrotizing retinitis with retinal hemorrhages. Aqueous humor puncture was positive for VZV. A bilateral ARN was diagnosed and intravenous acyclovir and foscarnet intravitreal injections were initiated. Patient developed a rhegmatogenous retinal detachment in OD within a week. Vitrectomy with endolaser and silicone oil tamponade was performed. Within four months, BCVA was 20/200 in OD and 20/50 in OS and inflammation was controlled. ARN may be asymptomatic in immunocompromised patients and progress even with treatment. A regular ophthalmologic evaluation is recommended in patients with AIDS, even in the absence of symptoms.
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spelling Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case StudyNecrose Retiniana Aguda Bilateral em Paciente com HIV: Um Estudo de CasoCasos ClínicosOur aim was to report a case of bilateral acute retinal necrosis (ARN). An asymptomatic 41-year-old female with history of AIDS was referred for screening of ocular manifestations of HIV. Patient had a BCVA of 20/40 OU. Slit-lamp examination showed bilateral inflammatory reaction of the anterior chamber. Fundus examination revealed bilateral necrotizing retinitis with retinal hemorrhages. Aqueous humor puncture was positive for VZV. A bilateral ARN was diagnosed and intravenous acyclovir and foscarnet intravitreal injections were initiated. Patient developed a rhegmatogenous retinal detachment in OD within a week. Vitrectomy with endolaser and silicone oil tamponade was performed. Within four months, BCVA was 20/200 in OD and 20/50 in OS and inflammation was controlled. ARN may be asymptomatic in immunocompromised patients and progress even with treatment. A regular ophthalmologic evaluation is recommended in patients with AIDS, even in the absence of symptoms.Reportamos um caso de necrose retiniana aguda (NRA) bilateral. Uma doente assintomática de 41 anos, com história de SIDA, foi referenciada para rastreio de manifestações oculares de VIH. Apresentava uma MAVC bilateral de 20/40. A biomicroscopia revelava uma reação inflamatória bilateral da câmara anterior. Na fundoscopia, observava-se uma retinite necrotizante bilateral com hemorragias retinianas. A punção de humor aquoso foi positiva para VVZ. Diagnosticou-se NRA e iniciaram-se injeções intravítreas de foscarnet e aciclovir endovenoso. A doente desenvolveu um descolamento de retina regmatogéneo dentro de uma semana em OD. Realizou-se vitrectomia, endolaser e tamponamento com óleo de silicone. Dentro de quatro meses, a MAVC era de 20/200 OD e 20/50 OE e a inflamação estava controlada. A NRA pode ser assintomática em imunodeprimidos e progredir mesmo sob tratamento. Uma avaliação oftalmológica regular deve ser recomendada em doentes com SIDA, mesmo na ausência de sintomas.Ajnet2022-09-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporthttps://doi.org/10.48560/rspo.26499eng1646-69501646-6950Carreira, Ana RitaParis, AriannaCardoso, JoãoToutee, AdelaideBodaghi, Bahraminfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-10-13T20:30:16Zoai:ojs.revistas.rcaap.pt:article/26499Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:11:23.224158Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
Necrose Retiniana Aguda Bilateral em Paciente com HIV: Um Estudo de Caso
title Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
spellingShingle Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
Carreira, Ana Rita
Casos Clínicos
title_short Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
title_full Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
title_fullStr Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
title_full_unstemmed Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
title_sort Bilateral Acute Retinal Necrosis in a HIV- Patient: A Case Study
author Carreira, Ana Rita
author_facet Carreira, Ana Rita
Paris, Arianna
Cardoso, João
Toutee, Adelaide
Bodaghi, Bahram
author_role author
author2 Paris, Arianna
Cardoso, João
Toutee, Adelaide
Bodaghi, Bahram
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Carreira, Ana Rita
Paris, Arianna
Cardoso, João
Toutee, Adelaide
Bodaghi, Bahram
dc.subject.por.fl_str_mv Casos Clínicos
topic Casos Clínicos
description Our aim was to report a case of bilateral acute retinal necrosis (ARN). An asymptomatic 41-year-old female with history of AIDS was referred for screening of ocular manifestations of HIV. Patient had a BCVA of 20/40 OU. Slit-lamp examination showed bilateral inflammatory reaction of the anterior chamber. Fundus examination revealed bilateral necrotizing retinitis with retinal hemorrhages. Aqueous humor puncture was positive for VZV. A bilateral ARN was diagnosed and intravenous acyclovir and foscarnet intravitreal injections were initiated. Patient developed a rhegmatogenous retinal detachment in OD within a week. Vitrectomy with endolaser and silicone oil tamponade was performed. Within four months, BCVA was 20/200 in OD and 20/50 in OS and inflammation was controlled. ARN may be asymptomatic in immunocompromised patients and progress even with treatment. A regular ophthalmologic evaluation is recommended in patients with AIDS, even in the absence of symptoms.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-30T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.48560/rspo.26499
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dc.language.iso.fl_str_mv eng
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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