Acute retinal necrosis (patient information): Difference between revisions
No edit summary |
m (Bot: Removing from Primary care) |
||
| (6 intermediate revisions by 2 users not shown) | |||
| Line 7: | Line 7: | ||
==Overview== | ==Overview== | ||
Acute retinal necrosis is an [[inflammation]] of the eye, specifically the [[retina]] in the eye, that results in the deterioration of retinal tissue. It is caused by viral infection and results in eye pain, redness, and vision problems. It is important to seek treatment for Acute retinal necrosis immediately, as it can lead to complications such as [[encephalitis|brain inflammation]], [[blindness]], and [[meningitis]]. | Acute [[retinal]] [[necrosis]] is an [[inflammation]] of the eye, specifically the [[retina]] in the eye, that results in the deterioration of retinal tissue. It is caused by viral infection and results in eye pain, redness, and vision problems. It is important to seek treatment for Acute [[retinal]] [[necrosis]] immediately, as it can lead to complications such as [[encephalitis|brain inflammation]], [[blindness]], and [[meningitis]]. | ||
==What are the symptoms of Acute retinal necrosis?== | ==What are the symptoms of Acute [[retinal]] [[necrosis]]?== | ||
It's important to recognize the symptoms of Acute retinal necrosis and seek medical help if you are experiencing the following: | It's important to recognize the symptoms of Acute [[retinal]] [[necrosis]] and seek medical help if you are experiencing the following: | ||
*[[Eye pain]] | *[[Eye pain]] | ||
*[[Red eye|Redness in the eye]] | *[[Red eye|Redness in the eye]] | ||
| Line 19: | Line 19: | ||
*Experiencing [[flu]]-like symptoms in conjunction with the above | *Experiencing [[flu]]-like symptoms in conjunction with the above | ||
==What causes Acute retinal necrosis?== | ==What causes Acute [[retinal]] [[necrosis]]?== | ||
Acute retinal necrosis is caused by [[viral]] infections by the following: | Acute [[retinal]] [[necrosis]] is caused by [[viral]] infections by the following: | ||
*[[Herpes simplex virus]] (HSV) 1 & 2 | *[[Herpes simplex virus]] (HSV) 1 & 2 | ||
*[[Varicella-zoster virus]] (VZV) | *[[Varicella-zoster virus]] (VZV) | ||
| Line 27: | Line 27: | ||
==Who is at highest risk?== | ==Who is at highest risk?== | ||
Acute retinal necrosis most often affects those with weakened [[immune systems]], including those suffering from [[HIV]], [[Diabetes mellitus|Diabetes]], [[Chickenpox]], [[Shingles]], and [[Mononucleosis|Mono]]. This is particularly the case for those with diseases from the same viruses responsible for Acute retinal necrosis. | Acute [[retinal]] [[necrosis]] most often affects those with weakened [[immune systems]], including those suffering from [[HIV]], [[Diabetes mellitus|Diabetes]], [[Chickenpox]], [[Shingles]], and [[Mononucleosis|Mono]]. This is particularly the case for those with diseases from the same viruses responsible for Acute [[retinal]] [[necrosis]]. | ||
Individuals over the age of 50 are most at risk for Acute retinal necrosis from HSV-1, while individuals under the age of 25 are at highest risk for Acute retinal necrosis from HSV-2. | Individuals over the age of 50 are most at risk for Acute [[retinal]] [[necrosis]] from HSV-1, while individuals under the age of 25 are at highest risk for Acute [[retinal]] [[necrosis]] from HSV-2. | ||
==Diagnosis== | ==Diagnosis== | ||
Your doctor will perform a physical exam to facilitate diagnosis of Acute retinal necrosis (ARN) and may perform additional laboratory tests to confirm the diagnosis and determine the cause: | Your doctor will perform a physical exam to facilitate diagnosis of Acute [[retinal]] [[necrosis]] (ARN) and may perform additional laboratory tests to confirm the diagnosis and determine the cause: | ||
*Analysis of liquid from the eye to obtain a live culture or evidence of the [[viral]] cause. | *Analysis of liquid from the eye to obtain a live culture or evidence of the [[viral]] cause. | ||
*Laboratory tests to determine if the body is producing [[antibodies]] indicative of fighting off a specific [[virus]]. | *Laboratory tests to determine if the body is producing [[antibodies]] indicative of fighting off a specific [[virus]]. | ||
| Line 44: | Line 44: | ||
==Treatment options== | ==Treatment options== | ||
Treatment is primarily [[antiviral]] therapies targeted to the viral cause, including those administered directly onto the eye as well as injected into the bloodstream. Surgical procedures may be performed if the Acute retinal necrosis case leads to complications. | Treatment is primarily [[antiviral]] therapies targeted to the viral cause, including those administered directly onto the eye as well as injected into the bloodstream. Surgical procedures may be performed if the Acute [[retinal]] [[necrosis]] case leads to complications. | ||
==Where to find medical care for Acute retinal necrosis?== | ==Where to find medical care for Acute [[retinal]] [[necrosis]]?== | ||
https://www.google.com/#q=Hospitals+treating+Acute+retinal+necrosis&hl=en&authuser=0 | https://www.google.com/#q=Hospitals+treating+Acute+retinal+necrosis&hl=en&authuser=0 | ||
| Line 59: | Line 59: | ||
==What to expect (Outlook/Prognosis)?== | ==What to expect (Outlook/Prognosis)?== | ||
Without treatment, Acute retinal necrosis can lead to dangerous complications that can be life-threatening, including [[Encephalitis|brain inflammation]] and [[meningitis]]. Permanent partial or total [[vision loss]] is likely without treatment due to the erosion and detachment of the [[retina]] of the eye. With treatment, there is a much greater chance of preserving eyesight and preventing life-threatening complications. | Without treatment, Acute [[retinal]] [[necrosis]] can lead to dangerous complications that can be life-threatening, including [[Encephalitis|brain inflammation]] and [[meningitis]]. Permanent partial or total [[vision loss]] is likely without treatment due to the erosion and detachment of the [[retina]] of the eye. With treatment, there is a much greater chance of preserving eyesight and preventing life-threatening complications. | ||
There is presently no guaranteed cure to reverse the symptoms; prognosis is improved the earlier the disease is diagnosed and treated with [[antiviral]] medication. | There is presently no guaranteed cure to reverse the symptoms; prognosis is improved the earlier the disease is diagnosed and treated with [[antiviral]] medication. | ||
==Possible complications== | ==Possible complications== | ||
Complications from Acute retinal necrosis arise from indefinite symptom worsening and spread of the infection past the [[retina]]: | Complications from Acute [[retinal]] [[necrosis]] arise from indefinite symptom worsening and spread of the infection past the [[retina]]: | ||
*[[Retinal detachment]]: The thin layer of light-sensitive tissue that is crucial for vision may come unattached, causing [[vision loss]] | *[[Retinal detachment]]: The thin layer of light-sensitive tissue that is crucial for vision may come unattached, causing [[vision loss]] | ||
*[[Encephalitis|Brain inflammation]] | *[[Encephalitis|Brain inflammation]] | ||
| Line 72: | Line 72: | ||
==Sources== | ==Sources== | ||
http://eyewiki.aao.org/Acute_retinal_necrosis | [http://eyewiki.aao.org/Acute_retinal_necrosis American Academy of Ophthalmology] | ||
[[Category:Patient information]] | [[Category:Patient information]] | ||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 20:16, 29 July 2020
|
Acute retinal necrosis |
|
Acute retinal necrosis On the Web |
|---|
|
Risk calculators and risk factors for Acute retinal necrosis |
For the WikiDoc page for this topic, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Acute retinal necrosis is an inflammation of the eye, specifically the retina in the eye, that results in the deterioration of retinal tissue. It is caused by viral infection and results in eye pain, redness, and vision problems. It is important to seek treatment for Acute retinal necrosis immediately, as it can lead to complications such as brain inflammation, blindness, and meningitis.
What are the symptoms of Acute retinal necrosis?
It's important to recognize the symptoms of Acute retinal necrosis and seek medical help if you are experiencing the following:
- Eye pain
- Redness in the eye
- Vision problems
- Partial or total vision Loss
- Excessive sensitivity to bright light
- Seeing spots when the affected eye is closed
- Experiencing flu-like symptoms in conjunction with the above
What causes Acute retinal necrosis?
Acute retinal necrosis is caused by viral infections by the following:
- Herpes simplex virus (HSV) 1 & 2
- Varicella-zoster virus (VZV)
- Cytomegalovirus (CMV)
- Epstein-Barr (EPB) infection
Who is at highest risk?
Acute retinal necrosis most often affects those with weakened immune systems, including those suffering from HIV, Diabetes, Chickenpox, Shingles, and Mono. This is particularly the case for those with diseases from the same viruses responsible for Acute retinal necrosis.
Individuals over the age of 50 are most at risk for Acute retinal necrosis from HSV-1, while individuals under the age of 25 are at highest risk for Acute retinal necrosis from HSV-2.
Diagnosis
Your doctor will perform a physical exam to facilitate diagnosis of Acute retinal necrosis (ARN) and may perform additional laboratory tests to confirm the diagnosis and determine the cause:
- Analysis of liquid from the eye to obtain a live culture or evidence of the viral cause.
- Laboratory tests to determine if the body is producing antibodies indicative of fighting off a specific virus.
- Imaging techniques, including CT and MRI scans, to confirm suspected signs of ARN.
When to seek urgent medical care?
You should seek urgent medical care if you are experiencing the following:
- Severe eye pain
- Vision loss to any extent
- Fluid leak from the affected eye
Treatment options
Treatment is primarily antiviral therapies targeted to the viral cause, including those administered directly onto the eye as well as injected into the bloodstream. Surgical procedures may be performed if the Acute retinal necrosis case leads to complications.
Where to find medical care for Acute retinal necrosis?
https://www.google.com/#q=Hospitals+treating+Acute+retinal+necrosis&hl=en&authuser=0
Prevention
Preventing acute retinal necrosis involves avoiding contact with individuals infected with the viral causes:
- Avoiding mouth-to-mouth contact
- Avoiding sexual contact
- Spending as little time as possible near individuals with chickenpox to avoid breathing contaminated air
- Avoiding contact with infected fluids
- Washing hands frequently
- Not sharing food or drinks
What to expect (Outlook/Prognosis)?
Without treatment, Acute retinal necrosis can lead to dangerous complications that can be life-threatening, including brain inflammation and meningitis. Permanent partial or total vision loss is likely without treatment due to the erosion and detachment of the retina of the eye. With treatment, there is a much greater chance of preserving eyesight and preventing life-threatening complications.
There is presently no guaranteed cure to reverse the symptoms; prognosis is improved the earlier the disease is diagnosed and treated with antiviral medication.
Possible complications
Complications from Acute retinal necrosis arise from indefinite symptom worsening and spread of the infection past the retina:
- Retinal detachment: The thin layer of light-sensitive tissue that is crucial for vision may come unattached, causing vision loss
- Brain inflammation
- Meningitis
- Permanent damage to the eye nerve
- Shrinking of the eye