Kianersi F, Masjedi A, Ghanbari H
Ophthalmology Ward, Feiz Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Case Rep Ophthalmol. 2010 Oct 30;1(2):85-89. doi: 10.1159/000321708.
To report a case of unilateral acute retinal necrosis after herpetic encephalitis CASE REPORT: A young man was referred with a chief complaint of blurred vision and pain of the left eye 1 month after herpetic encephalitis in the left frontotemporal lobe. The patient had multiple foci of retinitis in the retinal periphery associated with vitritis, blot retinal hemorrhage and retinal arteriolitis. The impression of acute retinal necrosis was confirmed by polymerase chain reaction of aqueous humor by detecting herpes simplex virus type 2; therefore, the patient received intravenous acyclovir. CONCLUSION: Herpetic encephalitis may be a risk factor for acute retinal necrosis. The virus may reach the eye by the trans-axonal route. Prophylaxis with acyclovir may be necessary after herpetic encephalitis to prevent acute retinal necrosis.
报告1例疱疹性脑炎后发生的单侧急性视网膜坏死病例。病例报告：一名年轻男性因左侧额颞叶疱疹性脑炎1个月后出现左眼视力模糊和疼痛为主诉前来就诊。患者视网膜周边有多个视网膜炎病灶，伴有玻璃体炎、视网膜点状出血和视网膜小动脉炎。通过检测房水中的单纯疱疹病毒2型，经聚合酶链反应确诊为急性视网膜坏死；因此，患者接受了静脉注射阿昔洛韦治疗。结论：疱疹性脑炎可能是急性视网膜坏死的一个危险因素。病毒可能通过轴突途径到达眼部。疱疹性脑炎后可能需要使用阿昔洛韦进行预防以防止急性视网膜坏死。
