Factors associated with poor visual outcome in acute retinal necrosis

Toshihiko Matsuo, Kayoko Morimoto, Nobuhiko Matsuo

Research output: Contribution to journalReview article

37 Citations (Scopus)

Abstract

We reviewed 22 consecutive patients (26 eyes) with acute retinal necrosis to elucidate whether there was any sign at an early stage to predictpoorvisual outcome. Final visual acuity of the patients fell into two groups, one worse than 20/600 (15 eyes) and the other better than 20/30 (11 eyes). The patients with poor visual outcome showed diffuse retinal arteritis or arterial obliteration which was associated with reduced amplitude of electroretinographic a and b waves and elevated levels of circulating immune complex, even at an early stage when retinal exudates were still localised to the peripheral findus. The retinal exudates in these patients extended rapidly to the posterior pole. In contrast, the patients with good visual outcome showed retinal arteritis limited within retinal exudates throughout the course. These signs at an early stage can be used as prognostic factors to manage patients with acute retinal necrosis more constructively.

Original languageEnglish
Pages (from-to)450-454
Number of pages5
JournalBritish Journal of Ophthalmology
Volume75
Issue number8
DOIs
Publication statusPublished - 1991

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

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