Abstract
Purpose/methods:
We examined a patient with progressive outer retinal necrosis, which is presumably caused by the varicella-zoster virus in patients with the acquired immunodeficiency syndrome.
Results/conclusions:
The patient was successfully treated with a combination of intravitreal ganciclovir and oral sorivudine. Treatment for progressive outer retinal necrosis has been disappointing; both acyclovir and ganciclovir have had only limited success. Sorivudine, a new antiviral medication with activity against varicella-zoster virus, may represent an effective alternative treatment for retinal necrosis.
MeSH terms
-
AIDS-Related Opportunistic Infections / drug therapy
-
Antiviral Agents / administration & dosage
-
Antiviral Agents / therapeutic use*
-
Arabinofuranosyluracil / administration & dosage
-
Arabinofuranosyluracil / analogs & derivatives*
-
Arabinofuranosyluracil / therapeutic use
-
Drug Therapy, Combination
-
Ganciclovir / administration & dosage
-
Ganciclovir / therapeutic use
-
Herpes Zoster Ophthalmicus / drug therapy
-
Humans
-
Male
-
Middle Aged
-
Retinal Necrosis Syndrome, Acute / drug therapy*
-
Retinal Necrosis Syndrome, Acute / virology
Substances
-
Antiviral Agents
-
Arabinofuranosyluracil
-
sorivudine
-
Ganciclovir