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NEUROLOGY 2004;63:2423-2425
© 2004 American Academy of Neurology
Brief Communications

Progressive outer retinal necrosis presenting with isolated optic neuropathy

B. K. Nakamoto, MD, E. U. Dorotheo, MD, V. Biousse, MD, R. A. Tang, MD, MPH, J. S. Schiffman, MD and N. J. Newman, MD

From the Departments of Ophthalmology (Drs. Nakamoto, Biousse, and Newman), Neurology (Drs. Biousse and Newman), and Neurological Surgery (Dr. Newman), Emory University School of Medicine, Atlanta, GA; Department of Ophthalmology (Drs. Dorotheo, Tang, and Schiffman), University of Texas Medical Branch, Galveston, TX; and Houston University Eye Institute (Dr. Schiffman), TX.

Address correspondence and reprint requests to Dr. Nancy J. Newman, Neuro-Ophthalmology Unit, Emory Eye Center, 1365-B Clifton Road NE, Atlanta, GA 30322; e-mail: ophtnjn{at}emory.edu

Progressive outer retinal necrosis is a necrotizing herpetic retinopathy usually seen in immunocompromised patients. The authors describe two patients with this disease who initially had findings suggestive of an optic neuropathy. Vision declined after treatment with methylprednisolone, after which fundus examination became consistent with progressive outer retinal necrosis. These cases underscore the importance of careful examination of the retinal periphery before management of any presumed optic neuropathy with steroids.

Received June 11, 2004. Accepted in final form August 2, 2004.




This article has been cited by other articles:


Home page
 NeurologyHome page
D. T.L. Liu and A. Y.K. Chan
Progressive outer retinal necrosis presenting with isolated optic neuropathy
Neurology, November 22, 2005; 65(10): 1682 - 1683.
[Full Text] [PDF]

Correspondence:

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Progressive outer retinal necrosis presenting with isolated optic neuropathy
David TL Liu, et al.
Neurology Online, 11 May 2005 [Full text]

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