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Kyrieleis plaques in herpes zoster virus associated acute retinal necrosis
Author(s) -
KONIDARIS V,
BRENT A,
VARDARINOS A,
DEANE J,
EMPESLIDIS T
Publication year - 2013
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2013.s055.x
Subject(s) - medicine , acute retinal necrosis , uveitis , retinitis , retinal , inflammation , necrosis , ophthalmology , pathology , fluorescein angiography , herpes zoster ophthalmicus , virus , virology , surgery , immunology , human cytomegalovirus
Purpose To present a case of unilateral acute retinal necrosis syndrome (ARNS) with associated Kyrieleis plaques. Methods A 56 year old male with recently diagnosed ARNS with necrotic lesions, extensive retinitis 360˚ around the arcades and multifocal lesions presented with decreased vision and floaters in his left eye. Anterior uveitis of 3+ cells, with mutton fat keratic precipitates and vitritis 2+ with severe haze settled down following anti‐viral and steroid treatment. Polymerase chain reaction from anterior chamber tap revealed presence of Herpes Zoster Virus. Results Kyrieleis plaques and segmented periarteritis appeared at presentation and spreaded in the first 2‐3 weeks whilst inflammation was settling down. They affected the majority of retinal arteries near the optic disc; however there was no evidence of sheathing of leakage of the arteries wall on fluorescein angiography. Conclusion Increased doses of steroids appear to control the inflammation. There was no association found between Kyreileis plaques and severity of inflammation.