Progressive outer retinal necrosis in a patient with nephrotic syndrome

Progressive outer retinal necrosis syndrome (PORN) is a variant of necrotizing herpetic retinopathy and the majority of the described cases were related to acquired immunodeficiency syndrome. We present a patient who is HIV negative with nephrotic syndrome and prednisolone use for 4 months who showe...

Full description

Saved in:
Bibliographic Details
Published inOphthalmic surgery, lasers & imaging Vol. 32; no. 1; p. 67
Main Authors Shinoda, Kei, Inoue, Makoto, Ishida, Susumu, Kawashima, Shinichi, Wakabayashi, Toshiko, Suzuki, Saburosuke, Katsura, Hiroshi
Format Journal Article
LanguageEnglish
Published Thorofare SLACK INCORPORATED 01.01.2001
Online AccessGet full text

Cover

More Information
Summary:Progressive outer retinal necrosis syndrome (PORN) is a variant of necrotizing herpetic retinopathy and the majority of the described cases were related to acquired immunodeficiency syndrome. We present a patient who is HIV negative with nephrotic syndrome and prednisolone use for 4 months who showed clinical features of PORN. Low CD4 counts and lymphocytopenia suggested immunosuppression. In the left eye, tractional retinal detachment at the posterior pole followed by incomplete posterior vitreous detachment developed. In addition to intravenous administration of acyclovir, vitreous surgeries including stripping of the posterior hyaloid and silicone-oil tamponade were successfully performed to repair the retinal detachment in the left eye and to prevent it in the right eye.
ISSN:2325-8160
2325-8179