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{{Acute retinal necrosis (patient information)}}
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'''Acute retinal necrosis
'''For the WikiDoc page for this topic, click [[Acute retinal necrosis|here]]'''
'''
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{{CMG}} {{AE}} {{LRO}}
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[[{{PAGENAME}}#Overview|Overview]]
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==Overview==
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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]].
[[{{PAGENAME}}#What are the symptoms of Acute retinal necrosis?|What are the symptoms?]]
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==What are the symptoms of Acute [[retinal]] [[necrosis]]?==
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It's important to recognize the symptoms of Acute [[retinal]] [[necrosis]] and seek medical help if you are experiencing the following:
[[{{PAGENAME}}#What causes Acute retinal necrosis?|What are the causes?]]
*[[Eye pain]]
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*[[Red eye|Redness in the eye]]
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*Vision problems
**Partial or total [[vision Loss]]
**[[Photophobia|Excessive sensitivity to bright light]]
**Seeing [[Floaters|spots]] when the affected eye is closed
*Experiencing [[flu]]-like symptoms in conjunction with the above


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==What causes Acute [[retinal]] [[necrosis]]?==
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Acute [[retinal]] [[necrosis]] is caused by [[viral]] infections by the following:
[[{{PAGENAME}}#Who is at highest risk?|Who is at highest risk?]]
*[[Herpes simplex virus]] (HSV) 1 & 2
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*[[Varicella-zoster virus]] (VZV)
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*[[Cytomegalovirus]] (CMV)
*[[Epstein-Barr]] (EPB) infection


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==Who is at highest risk?==
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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]].
[[{{PAGENAME}}#Diagnosis|Diagnosis]]
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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.
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[[{{PAGENAME}}#When to seek urgent medical care?|When to seek urgent medical care?]]
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==Diagnosis==
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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:
[[{{PAGENAME}}#Treatment options|Treatment options]]
*Analysis of liquid from the eye to obtain a live culture or evidence of the [[viral]] cause.
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*Laboratory tests to determine if the body is producing [[antibodies]] indicative of fighting off a specific [[virus]].
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*Imaging techniques, including CT and MRI scans, to confirm suspected signs of ARN.


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==When to seek urgent medical care?==
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You should seek urgent medical care if you are experiencing the following:
[[{{PAGENAME}}#Where to find medical care for Acute retinal necrosis?|Where to find medical care for Acute retinal necrosis?]]
*Severe [[eye pain]]
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*[[Vision loss]] to any extent
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*Fluid leak from the affected eye


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==Treatment options==
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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. 
[[{{PAGENAME}}#Prevention of Acute retinal necrosis|Prevention]]
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==Where to find medical care for Acute [[retinal]] [[necrosis]]?==
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https://www.google.com/#q=Hospitals+treating+Acute+retinal+necrosis&hl=en&authuser=0
[[{{PAGENAME}}#What to expect (Outlook/Prognosis)?|What to expect (Outlook/Prognosis)?]]
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==Prevention==
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Preventing acute retinal necrosis involves avoiding contact with individuals infected with the viral causes:
[[{{PAGENAME}}#Possible complications|Possible complications]]
*Avoiding mouth-to-mouth contact
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*Avoiding sexual contact
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*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


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==What to expect (Outlook/Prognosis)?==
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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.
Acute retinal necrosis On the Web
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There is presently no guaranteed cure to reverse the symptoms; prognosis is improved the earlier the disease is diagnosed and treated with [[antiviral]] medication.
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[http://clinicaltrials.gov/search/open/condition={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}} Ongoing Trials at Clinical Trials.gov]
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==Possible complications==
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Complications from Acute [[retinal]] [[necrosis]] arise from indefinite symptom worsening and spread of the infection past the [[retina]]:
[http://images.google.com/images?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}}&ie=UTF-8&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&sa=N&tab=wi Images of Acute retinal necrosis]
*[[Retinal detachment]]: The thin layer of light-sensitive tissue that is crucial for vision may come unattached, causing [[vision loss]]
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*[[Encephalitis|Brain inflammation]]
*[[Meningitis]]
*Permanent damage to the [[Optic nerve|eye nerve]]
*[[Phthisis bulbi|Shrinking of the eye]]


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==Sources==
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[http://eyewiki.aao.org/Acute_retinal_necrosis American Academy of Ophthalmology]
[http://www.google.com/search?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}}&tbm=vid Videos on Acute retinal necrosis]
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[[Category:Patient information]]
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[[Category:Ophthalmology]]
[http://google2.fda.gov/search?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}}&x=0&y=0&client=FDAgov&site=FDAgov&lr=&proxystylesheet=FDAgov&output=xml_no_dtd&getfields=* FDA on Acute retinal necrosis]
[[Category:Emergency medicine]]
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[[Category:Disease]]
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[[Category:Up-To-Date]]
 
[[Category:Infectious disease]]
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[http://www.cdc.gov/search.do?queryText={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}}&searchButton.x=33&searchButton.y=6&action=search CDC on Acute retinal necrosis]
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[http://news.google.com/news?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}}&ie=UTF-8&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&sa=N&tab=wn  Acute retinal necrosisin the news]
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[http://blogsearch.google.com/blogsearch?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}}&ie=UTF-8&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&sa=N&tab=wb Blogs on Acute retinal necrosis]</small>
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[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Acute retinal necrosis}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Acute retinal necrosis]
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[http://www.google.com/search?hl=en&client=firefox-a&rls=org.mozilla%3Aen-US%3Aofficial&hs=QWo&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Acute retinal necrosis}}}}+AND+risk+score+OR+risk+calculator&btnG=Search Risk calculators and risk factors for Acute retinal necrosis]
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Latest revision as of 20:16, 29 July 2020

Acute retinal necrosis

Overview

What are the symptoms?

What are the causes?

Who is at highest risk?

Diagnosis

When to seek urgent medical care?

Treatment options

Where to find medical care for Acute retinal necrosis?

Prevention

What to expect (Outlook/Prognosis)?

Possible complications

Acute retinal necrosis On the Web

Ongoing Trials at Clinical Trials.gov

Images of Acute retinal necrosis

Videos on Acute retinal necrosis

FDA on Acute retinal necrosis

CDC on Acute retinal necrosis

Acute retinal necrosisin the news

Blogs on Acute retinal necrosis

Directions to Hospitals Treating Acute retinal necrosis

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:

What causes Acute retinal necrosis?

Acute retinal necrosis is caused by viral infections by the following:

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:

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:

Sources

American Academy of Ophthalmology