Antivirals are the mainstay treatment for this syndrome. 1986, 6 (2): 85-94.Beutner KR: Valacyclovir: a review of its antiviral activity, pharmacokinetic properties, and clinical efficacy. It was first described in 1971 [Advocates of oral antiviral therapy argue that the adoption of intravenous antiviral therapy predated the discovery of valacyclovir and famciclovir, both of which have superior plasma bioavailability to acyclovir as oral preparations [The study consisted of a retrospective review of the medical records of nine consecutive patients who presented between December 2006 and November 2009 at a single tertiary referral centre with a new diagnosis of ARN and whose antiviral therapy consisted solely of oral valacyclovir. 1986 Mar. To report the outcome of oral valacyclovir as the sole antiviral therapy for patients with acute retinal necrosis (ARN).This study reports a retrospective, interventional case series of nine consecutive patients with ten eyes with newly diagnosed ARN treated with oral valacyclovir as the sole antiviral agent. 2001, 47 (6): 855-861. 2002; 22 (3):352–354. J Antimicrob Chemother. It can cause retinal holes or a detached retina. Arch Ophthalmol. 2003, 47 (8): 2438-2441. © 2020 BioMed Central Ltd unless otherwise stated. Treatment of acute retinal necrosis syndrome. You can also search for this author in An elevated risk of glaucoma, which can occur when ocular shingles leads to increased pressure in your eye. Acute Retinal Necrosis (ARN) is a potentially devastating form of Uveitis. Medical and surgical treatment strategies of acute retinal necrosis (ARN) have evolved considerably and mirrored advances in our understanding of the underlying pathophysiology of the disease since it was first described by Urayama and colleagues in 1971. 2006, 20 (2): 247-Savant V, Saeed T, Denniston A, Murray PI: Oral valganciclovir treatment of varicella zoster virus acute retinal necrosis. Acute retinal necrosis (ARN) is a rare infectious viral uveitis syndrome that manifests as a necrotizing retinitis and may result in a devastating visual outcome if not accurately diagnosed and treated.1 The first report of this clinical entity was in 1971, but it was not until 1982 that Culbertson et al. Eye. Renal function was monitored closely throughout treatment. Arch Ophthalmol. 10.1016/j.ophtha.2009.08.003.Palay DA, Sternberg P, Davis J, Lewis H, Holland GN, Mieler WF, Jabs DA, Drews C: Decrease in the risk of bilateral acute retinal necrosis by acyclovir therapy. Valacyclovir proved effective at treating retinitis in all ten eyes, and the median times to initial response and complete resolution of retinitis were 7 days and 21 days respectively, which is similar to the results of other series in which intravenous acyclovir [We recorded no cases of fellow eye involvement. Two cases were proven on PCR, and it was the presumed cause in two further patients, one of whom had disseminated herpes zoster at the time of presentation (patient 8) and one of whom had a history of recent chicken pox infection (patient 2). Retina. Nevertheless, treatment with oral valacyclovir 2 g tid appears to be as efficacious as previously reported outcomes with other antiviral treatments, and suggests that this is a valid treatment option for patients with acute retinal necrosis.Treatment with oral valacyclovir 2 g tid appears to be as efficacious as previously reported outcomes with other antiviral treatments, and suggests that this is a valid treatment option for patients with acute retinal necrosis.This study reports the outcome of oral valacyclovir as the sole antiviral therapy in ten eyes of nine patients with acute retinal necrosis. Aizman A. 10.1016/j.ajo.2009.02.010. ... Acyclovir is contraindicated in patients who have developed acyclovir hypersensitivity or valacyclovir hypersensitivity. 10.1097/00006982-200206000-00016.Emerson GG, Smith JR, Wilson DJ, Rosenbaum JT, Flaxel CJ: Primary treatment of acute retinal necrosis with oral antiviral therapy. Where there was significant vitritis or optic nerve involvement, such that visual acuity was impaired, systemic corticosteroid therapy at a dose of 0.5-1 mg/kg was instituted on the same day as antiviral therapy, and was tapered over the course of the antiviral therapy. Ophthalmology. Ophthalmology. 10.1016/j.ophtha.2006.05.063.Figueroa MS, Garabito I, Gutierrez C, Fortun J: Famciclovir for the treatment of acute retinal necrosis (ARN) syndrome. 1991, 112 (3): 250-255.Meghpara B, Sulkowski G, Kesen MR, Tessler HH, Goldstein DA: Long-term follow-up of acute retinal necrosis. One patient with HIV infection and disseminated VZV was advised to remain on maintenance therapy, but was lost to follow up after seven weeks. 1986, 93 (3): 296-300.Culbertson WW, Blumenkranz MS, Haines H, Gass DM, Mitchell KB, Norton EW: The acute retinal necrosis syndrome. Emerson GG, Smith JR, Wilson DJ, Rosenbaum JT, Flaxel CJ. 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