外层视网膜进行性坏死伴孤立的视神经病变

• 作 者: Nakamoto B.K.otheo E.U. N.J. Newman 陈立军
• 机 构: Neuro-Ophthal mology Unit, Emory Eye Center, 1365-B Clifton Road NE, Atlanta, GA 30322, Unite d Stat
• 出 处: 世界核心医学期刊文摘.眼科学分册
• 发表日期: 2005年05期
• 关键词: 进行性坏死 视神经病变 视网膜 外层 视网膜坏死 周边视网膜 甲基强的松龙 眼底改变 疱疹病毒 免疫力低下

Progressive outer retinal necrosis is a necrotizing herpetic retinopathy usual ly seen in immunocompromised patients. The authors describe two patients with th is disease who initially had findings suggestive of an optic neuropathy. Vision declined after treatment with methylprednisolone, after which fundus examination became consistent with progressive outer retinal necrosis. These cases undersco re the importance of careful examination of the retinal periphery before management of any presumed optic neuropathy with steroids.

Progressive outer retinal necrosis is a necrotizing herpetic retinopathy usual ly seen in immunocompromised patients. The authors describe two patients with th is disease who initially had findings suggestive of an optic neuropathy. Vision declined after treatment with methylprednisolone, after which fundus examination became consistent with progressive outer retinal necrosis. These cases undersco re the importance of careful examination of the retinal periphery before management of any presumed optic neuropathy with steroids.