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December 28, 2004; 63 (12) Brief Communications

Progressive outer retinal necrosis presenting with isolated optic neuropathy

B. K. Nakamoto, E. U. Dorotheo, V. Biousse, R. A. Tang, J. S. Schiffman, N. J. Newman
First published December 28, 2004, DOI: https://doi.org/10.1212/01.WNL.0000147263.89255.B8
B. K. Nakamoto
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.
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E. U. Dorotheo
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.
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V. Biousse
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.
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R. A. Tang
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.
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J. S. Schiffman
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.
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N. J. Newman
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.
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Citation
Progressive outer retinal necrosis presenting with isolated optic neuropathy
B. K. Nakamoto, E. U. Dorotheo, V. Biousse, R. A. Tang, J. S. Schiffman, N. J. Newman
Neurology Dec 2004, 63 (12) 2423-2425; DOI: 10.1212/01.WNL.0000147263.89255.B8

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Abstract

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.
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Letters: Rapid online correspondence

  • Progressive outer retinal necrosis presenting with isolated optic neuropathy
    • David TL Liu, Department of Ophthalmology & Visual Sciences, the Chinese University of Hong Kong, 7/F, Block B, Prince of Wales Hospital, Shatin, Hong Kong[email protected]
    • Alice YK Chan
    Submitted May 11, 2005
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