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Progressive outer retinal necrosis presenting with isolated optic neuropathy.

B K Nakamoto·E U Dorotheo·V Biousse·R A Tang·J S Schiffman·N J Newman
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Abstract

Progressive outer retinal necrosis is a necrotizing herpetic retinopathy usually seen in immunocompromised patients. The authors describe two patients with this 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 underscore the importance of careful examination of the retinal periphery before management of any presumed optic neuropathy with steroids.

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AIDS-Related Opportunistic InfectionsAcyclovirAdultAntiviral AgentsCytomegalovirus InfectionsCytomegalovirus RetinitisDiagnostic ErrorsDiplopiaDisease ProgressionEncephalitis, ViralFemaleFoscarnetHerpes ZosterHumansMagnetic Resonance ImagingMethylprednisoloneMiddle AgedNecrosisOptic NeuritisParesisPrednisoneRetinaCase ReportsJournal ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.Review

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BibTeXRIS

B K Nakamoto, E U Dorotheo, V Biousse, R A Tang, J S Schiffman, N J Newman. 2004-12-28. Progressive outer retinal necrosis presenting with isolated optic neuropathy.. https://doi.org/10.1212/01.wnl.0000147263.89255.b8

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