Back to Journals » Clinical Ophthalmology » Volume 7
A case of presumed acute retinal necrosis after intraocular foreign body injury
Authors Park SW , Byon IS, Park HJ, Lee JE , Oum BS
Received 30 December 2012
Accepted for publication 7 February 2013
Published 20 March 2013 Volume 2013:7 Pages 545—548
DOI https://doi.org/10.2147/OPTH.S42175
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Sung Who Park,1 Ik Soo Byon,1 Hyun Jun Park,2 Ji Eun Lee,1,3 Boo Sup Oum1,3
1Department of Ophthalmology, School of Medicine, Pusan National University, Busan, Korea; 2Department of Ophthalmology, Yangsan Pusan National University Hospital, Busan, Korea; 3Medical Research Institute, School of Medicine, Pusan National University Hospital, Busan, Korea
Abstract: The aim of this study was to report a case of acute retinal necrosis (ARN) after intraocular foreign body removal. A 32-year-old male presented with visual loss in the left eye. He was hit by an iron fragment while he was hammering. An intraocular foreign body was found with corneal laceration and traumatic cataract. On the day he was injured, primary closure of the laceration, lensectomy, and vitrectomy were performed, and the foreign body was removed. The day after the operation, there was no sign of retinal detachment or retinitis. Two days after the operation, retinal necrosis and accompanying vitreous inflammation were noted in the far periphery. On day 3, the necrosis spread circumferentially and inflammation became more distinct. ARN was presumed and intravenous acyclovir was administered. The necrotic areas were reduced 2 days later, and were resolved in 1 month. The final visual acuity in his left eye was 20/20 after implantation of an intraocular lens. This case is the first report of ARN after penetrating injury and an intraocular foreign body. ARN may develop after open-globe injury.
Keywords: necrotizing herpetic retinopathy, acute retinal necrosis, intraocular foreign body
© 2013 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.