Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient population
Purpose: To look at the clinical profile, treatment methods, and outcomes in cases of acute retinal necrosis (ARN) from a tertiary eye care center. Methods: Hospital-based retrospective observational study wherein cases of ARN presented between January 2016 and December 2023 were reviewed. Demograph...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-06-01
|
| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_1585_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850086533181210624 |
|---|---|
| author | Vidya S Mooss Krishna R Murthy Kalpana Babu Aniruddha A Tirumalai |
| author_facet | Vidya S Mooss Krishna R Murthy Kalpana Babu Aniruddha A Tirumalai |
| author_sort | Vidya S Mooss |
| collection | DOAJ |
| description | Purpose:
To look at the clinical profile, treatment methods, and outcomes in cases of acute retinal necrosis (ARN) from a tertiary eye care center.
Methods:
Hospital-based retrospective observational study wherein cases of ARN presented between January 2016 and December 2023 were reviewed. Demographic details, clinical presentation, complications, management, and visual outcome were evaluated.
Results:
Twenty eyes of 18 cases were included in the study. Mean age was 40.77 ± 16.38 years, male to female ratio was 2:1, and 11.11% had bilaterality at presentation. Mean duration of uveitis was 3.312 ± 0.95 months. The most commonly found organism was VZV (50%), followed by HSV (45%). All cases were given intravitreal ganciclovir in addition to systemic antivirals and oral steroids. The mean number of intravitreal injections was 5.53 ± 3.87. Maintenance dose of oral valacyclovir (500 mg twice daily) was continued in all cases for an average duration of 5.61 ± 3.79 months. The most common complications noted were retinal detachment (50%) followed by optic atrophy (44.44%). No significant association was noted between the extent of retinitis and the development of complications (P = 0.215). However, there was a significant difference seen in the rate of complications between the HSV and VZV groups, with more complication rates seen with the VZV group (P = 0.04). The mean visual acuity was 0.87 ± 0.85 logMAR at presentation and 0.65 ± 0.67 logMAR at the end of the study.
Conclusion:
Timely diagnosis, aggressive initial treatment with intravitreal ganciclovir along with systemic antivirals and long-term maintenance therapy with systemic antivirals are crucial in ARN to obtain the best visual prognosis achievable and prevent lifelong disabilities. |
| format | Article |
| id | doaj-art-00442c6f1cbb418ab5cd3e482e0eebca |
| institution | DOAJ |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-00442c6f1cbb418ab5cd3e482e0eebca2025-08-20T02:43:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-06-0173685886310.4103/IJO.IJO_1585_24Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient populationVidya S MoossKrishna R MurthyKalpana BabuAniruddha A TirumalaiPurpose: To look at the clinical profile, treatment methods, and outcomes in cases of acute retinal necrosis (ARN) from a tertiary eye care center. Methods: Hospital-based retrospective observational study wherein cases of ARN presented between January 2016 and December 2023 were reviewed. Demographic details, clinical presentation, complications, management, and visual outcome were evaluated. Results: Twenty eyes of 18 cases were included in the study. Mean age was 40.77 ± 16.38 years, male to female ratio was 2:1, and 11.11% had bilaterality at presentation. Mean duration of uveitis was 3.312 ± 0.95 months. The most commonly found organism was VZV (50%), followed by HSV (45%). All cases were given intravitreal ganciclovir in addition to systemic antivirals and oral steroids. The mean number of intravitreal injections was 5.53 ± 3.87. Maintenance dose of oral valacyclovir (500 mg twice daily) was continued in all cases for an average duration of 5.61 ± 3.79 months. The most common complications noted were retinal detachment (50%) followed by optic atrophy (44.44%). No significant association was noted between the extent of retinitis and the development of complications (P = 0.215). However, there was a significant difference seen in the rate of complications between the HSV and VZV groups, with more complication rates seen with the VZV group (P = 0.04). The mean visual acuity was 0.87 ± 0.85 logMAR at presentation and 0.65 ± 0.67 logMAR at the end of the study. Conclusion: Timely diagnosis, aggressive initial treatment with intravitreal ganciclovir along with systemic antivirals and long-term maintenance therapy with systemic antivirals are crucial in ARN to obtain the best visual prognosis achievable and prevent lifelong disabilities.https://journals.lww.com/10.4103/IJO.IJO_1585_24acute retinal necrosisherpes simplex virusherpes zoster virusintravitreal ganciclovir |
| spellingShingle | Vidya S Mooss Krishna R Murthy Kalpana Babu Aniruddha A Tirumalai Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient population Indian Journal of Ophthalmology acute retinal necrosis herpes simplex virus herpes zoster virus intravitreal ganciclovir |
| title | Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient population |
| title_full | Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient population |
| title_fullStr | Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient population |
| title_full_unstemmed | Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient population |
| title_short | Clinical profile and treatment outcomes in acute retinal necrosis in a South Indian patient population |
| title_sort | clinical profile and treatment outcomes in acute retinal necrosis in a south indian patient population |
| topic | acute retinal necrosis herpes simplex virus herpes zoster virus intravitreal ganciclovir |
| url | https://journals.lww.com/10.4103/IJO.IJO_1585_24 |
| work_keys_str_mv | AT vidyasmooss clinicalprofileandtreatmentoutcomesinacuteretinalnecrosisinasouthindianpatientpopulation AT krishnarmurthy clinicalprofileandtreatmentoutcomesinacuteretinalnecrosisinasouthindianpatientpopulation AT kalpanababu clinicalprofileandtreatmentoutcomesinacuteretinalnecrosisinasouthindianpatientpopulation AT aniruddhaatirumalai clinicalprofileandtreatmentoutcomesinacuteretinalnecrosisinasouthindianpatientpopulation |