Progressive outer retinal necrosis presenting as cherry red spot

Glenn C Yiu; Lucy H. Young

doi:10.3109/09273948.2012.710705

Progressive outer retinal necrosis presenting as cherry red spot

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To report a case of progressive outer retinal necrosis (PORN) presenting as a cherry red spot. Methods: Case report. Results: A 53-year-old woman with recently diagnosed HIV and varicella-zoster virus (VZV) aseptic meningitis developed rapid sequential vision loss in both eyes over 2 months. Her exam showed a "cherry red spot" in both maculae with peripheral atrophy and pigmentary changes, consistent with PORN. Due to her late presentation and the rapid progression of her condition, she quickly developed end-stage vision loss in both eyes. Conclusions: PORN should be considered within the differential diagnosis of a "cherry red spot." Immune-deficient patients with a history of herpetic infection who present with visual loss warrant prompt ophthalmological evaluation.

Original language	English (US)
Pages (from-to)	384-386
Number of pages	3
Journal	Ocular Immunology and Inflammation
Volume	20
Issue number	5
DOIs	https://doi.org/10.3109/09273948.2012.710705
State	Published - Oct 2012
Externally published	Yes

Keywords

Cherry red spot
Herpes zoster
PORN
Progressive outer retinal necrosis

ASJC Scopus subject areas

Ophthalmology
Immunology and Allergy

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title = "Progressive outer retinal necrosis presenting as cherry red spot",

abstract = "Purpose: To report a case of progressive outer retinal necrosis (PORN) presenting as a cherry red spot. Methods: Case report. Results: A 53-year-old woman with recently diagnosed HIV and varicella-zoster virus (VZV) aseptic meningitis developed rapid sequential vision loss in both eyes over 2 months. Her exam showed a {"}cherry red spot{"} in both maculae with peripheral atrophy and pigmentary changes, consistent with PORN. Due to her late presentation and the rapid progression of her condition, she quickly developed end-stage vision loss in both eyes. Conclusions: PORN should be considered within the differential diagnosis of a {"}cherry red spot.{"} Immune-deficient patients with a history of herpetic infection who present with visual loss warrant prompt ophthalmological evaluation.",

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