Acute retinal necrosis secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
While recurrence of | While recurrence of acute [[retinal]] [[necrosis]] is not presently completely preventable, the administration of topical and [[intravitreal]] [[antiviral]] therapy targeted to the specific cause of the disease can reduce the chance of recurrence. | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
While recurrence of | While recurrence of acute [[retinal]] [[necrosis]] is not presently completely preventable, the administration of topical and [[intravitreal]] [[antiviral]] therapy targeted to the specific cause of the disease can reduce the chance of recurrence.<ref name="pmid24385671">{{cite journal |vauthors=Flaxel CJ, Yeh S, Lauer AK |title=Combination systemic and intravitreal antiviral therapy in the management of acute retinal necrosis syndrome (an American Ophthalmological Society thesis) |journal=Trans Am Ophthalmol Soc |volume=111 |issue= |pages=133–44 |year=2013 |pmid=24385671 |pmc=3868412 |doi= |url=}}</ref> | ||
*Application of [[antiviral]] therapy is more effective for prevention when administered as close to disease onset as possible. | *Application of [[antiviral]] therapy is more effective for prevention when administered as close to disease onset as possible. | ||
**Extensive, prolonged therapy is important | **Extensive, prolonged therapy is important for preventing the disease from spreading to the unaffected eye. | ||
Further [[prophylactic]] measures, such as [[vitrectomy]], may be used in current | Further [[prophylactic]] measures, such as [[vitrectomy]], may be used in current acute [[retinal]] [[necrosis]] patients to minimize the possibility of complications, including [[retinal detachment]].<ref name="pmid26035758">{{cite journal |vauthors=Shantha JG, Weissman HM, Debiec MR, Albini TA, Yeh S |title=Advances in the management of acute retinal necrosis |journal=Int Ophthalmol Clin |volume=55 |issue=3 |pages=1–13 |year=2015 |pmid=26035758 |pmc=4567584 |doi=10.1097/IIO.0000000000000077 |url=}}</ref> | ||
Prophylactic laser retinopexy may be indicated to prevent [[retinal detachment]] by [[Laser photocoagulation|photocoagulation]], creating posterior chorioretinal adhesions.<ref name="pmid18723739">{{cite journal |vauthors=Park JJ, Pavesio C |title=Prophylactic laser photocoagulation for acute [[retinal]] [[necrosis]]. Does it raise more questions than answers? |journal=Br J Ophthalmol |volume=92 |issue=9 |pages=1161–2 |year=2008 |pmid=18723739 |doi=10.1136/bjo.2008.147181 |url=}}</ref><ref name="ARNopth">{{cite journal| author=Chun HL, Missotten T, Salzmann J, Lightman SL | title=Acute Retinal Necrosis: Features, Management, and Outcomes | journal=Opthalmology | year=2007 | volume=114 | Issue=4 | pages=756-762 | url=http://www.sciencedirect.com/science/article/pii/S0161642006012073 }}</ref> | |||
*The procedure is contraindicated if there is [[vitreous]] [[inflammation]] or obstructed view and access to the [[posterior pole]]. | |||
Due to reported occurrences of [[retinal detachment]] from prophylactic laser photocoagulation, more research is necessary to determine the ideal indications for the procedure.<ref name="pmid18723739">{{cite journal |vauthors=Park JJ, Pavesio C |title=Prophylactic laser photocoagulation for acute retinal necrosis. Does it raise more questions than answers? |journal=Br J Ophthalmol |volume=92 |issue=9 |pages=1161–2 |year=2008 |pmid=18723739 |doi=10.1136/bjo.2008.147181 |url=}}</ref> | |||
*If performed on patients with excessive [[inflammation]] and [[vitreous]] opacity, there is evidence of photocoagulation worsening prognosis of acute [[retinal]] [[necrosis]], leading to [[retinal detachment]] and [[blindness]].<ref name="pmid18584565">{{cite journal |vauthors=Kawaguchi T, Spencer DB, Mochizuki M |title=Therapy for acute retinal necrosis |journal=Semin Ophthalmol |volume=23 |issue=4 |pages=285–90 |year=2008 |pmid=18584565 |doi=10.1080/08820530802111192 |url=}}</ref> | |||
==References== | ==References== | ||
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[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
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[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 20:17, 29 July 2020
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Acute retinal necrosis secondary prevention On the Web |
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American Roentgen Ray Society Images of Acute retinal necrosis secondary prevention |
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Risk calculators and risk factors for Acute retinal necrosis secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
While recurrence of acute retinal necrosis is not presently completely preventable, the administration of topical and intravitreal antiviral therapy targeted to the specific cause of the disease can reduce the chance of recurrence.
Secondary Prevention
While recurrence of acute retinal necrosis is not presently completely preventable, the administration of topical and intravitreal antiviral therapy targeted to the specific cause of the disease can reduce the chance of recurrence.[1]
- Application of antiviral therapy is more effective for prevention when administered as close to disease onset as possible.
- Extensive, prolonged therapy is important for preventing the disease from spreading to the unaffected eye.
Further prophylactic measures, such as vitrectomy, may be used in current acute retinal necrosis patients to minimize the possibility of complications, including retinal detachment.[2]
Prophylactic laser retinopexy may be indicated to prevent retinal detachment by photocoagulation, creating posterior chorioretinal adhesions.[3][4]
- The procedure is contraindicated if there is vitreous inflammation or obstructed view and access to the posterior pole.
Due to reported occurrences of retinal detachment from prophylactic laser photocoagulation, more research is necessary to determine the ideal indications for the procedure.[3]
- If performed on patients with excessive inflammation and vitreous opacity, there is evidence of photocoagulation worsening prognosis of acute retinal necrosis, leading to retinal detachment and blindness.[5]
References
- ↑ Flaxel CJ, Yeh S, Lauer AK (2013). "Combination systemic and intravitreal antiviral therapy in the management of acute retinal necrosis syndrome (an American Ophthalmological Society thesis)". Trans Am Ophthalmol Soc. 111: 133–44. PMC 3868412. PMID 24385671.
- ↑ Shantha JG, Weissman HM, Debiec MR, Albini TA, Yeh S (2015). "Advances in the management of acute retinal necrosis". Int Ophthalmol Clin. 55 (3): 1–13. doi:10.1097/IIO.0000000000000077. PMC 4567584. PMID 26035758.
- ↑ 3.0 3.1 Park JJ, Pavesio C (2008). "Prophylactic laser photocoagulation for acute retinal necrosis. Does it raise more questions than answers?". Br J Ophthalmol. 92 (9): 1161–2. doi:10.1136/bjo.2008.147181. PMID 18723739.
- ↑ Chun HL, Missotten T, Salzmann J, Lightman SL (2007). "Acute Retinal Necrosis: Features, Management, and Outcomes". Opthalmology. 114: 756–762. Unknown parameter
|Issue=ignored (|issue=suggested) (help) - ↑ Kawaguchi T, Spencer DB, Mochizuki M (2008). "Therapy for acute retinal necrosis". Semin Ophthalmol. 23 (4): 285–90. doi:10.1080/08820530802111192. PMID 18584565.