Clinical features of acute retinal necrosis with optic neuropathy and central retinal artery occlusion as initial manifestation

Abstract

Background: Acute retinal necrosis normally occurs at the peripheral retina and gradually merges and progresses to the posterior pole. We report the case of a patient with optic neuropathy and central retinal vessels as the first manifestations of Acute retinal necrosis. Case presentation: A 56-year-old man was referred with a 10-day vision loss in his right eye. The visual acuity of the right eye was hand motion. Acute retinal necrosis and central retinal artery occlusion were diagnosed. Antiviral drugs, corticosteroids, and drugs that improve blood circulation were given. The necrotic retina and swollen optic disc disappeared gradually. However, the final vision of this eye declined to no light perception. Conclusion: Acute retinal necrosis should be considered in patients with retinal vascular occlusion accompanied by granulomatous anterior uveitis. Further research is needed to determine whether treatments in addition to antiviral and corticosteroid therapy are needed.