DR. SEHDIYA HAMZA

Dr. MOHAN RAJAN, Dr.Supriya Dabir

Acute retinal necrosis occurs due to secondary reactivation of previously acquired

herpes simplex or varicella zoster virus. A 14 year old boy, presented with diminished

vision in the left eye since 3 days. He gave history of contracting chicken pox 3 weeks

back. Ocular examination revealed anterior uveitis, vitritis and peripheral retinal

necrosis. Patient was started on intravenous acyclovir injection 500mg TDS. Patient

developed acyclovir induced crystalline nephropathy. Systemic anti-viral was stopped

and patient was given concomitant intravitreal ganciclovir (2mg/0.1ml) and

dexamethasone (4mg/0.1ml) along with systemic steroids. Combination of intravitreal

and systemic anti-viral allowed for improved functional and visual outcomes.