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Management Strategies of Acute Retinal Necrosis: Current Perspectives

Authors Powell B, Wang D, Llop S, Rosen RB

Received 16 April 2020

Accepted for publication 17 June 2020

Published 8 July 2020 Volume 2020:14 Pages 1931—1943

DOI https://doi.org/10.2147/OPTH.S258488

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Brittany Powell, Daniel Wang, Stephanie Llop, Richard B Rosen

Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, United States

Correspondence: Richard B Rosen
New York Eye and Ear Infirmary of Mount Sinai, 310 East 14th Street, New York, NY 10003 Tel +1 212-979-4288
Fax +1 212-979-4268
Email rrosen@nyee.edu

Abstract: Acute retinal necrosis is a rare yet devastating disease, with significant ocular morbidity. Over the past several decades, initial treatment regimens have shifted from intravenous antivirals requiring hospital admission to the routine use of oral antivirals with intravitreal antivirals for immediate local control. Given the rarity of this disease process and a lack of large-scale research trials, debate continues over recommended practice guidelines. In this paper, we review current diagnostic criteria and recommend a treatment algorithm based on available evidence.

Keywords: occlusive vasculitis, medical management, posterior uveitis

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