Analysis of the Causes of Misdiagnosis of Early Acute Retinal Necrosis Syn-drome
TONG Chunmei
JIN Tao
WANG Chaoying
SUN Congcong
HAO Yumeng
Abstract：Objective To explore the clinical characteristics,diagnosis and treatment methods,causes of misdiagno-sis and preventive measures of acute retinal necrosis syndrome(ARN).Methods The clinical data of 1 patient with ARN misdiagnosed in June 2024 were analyzed.Results The patient presented with blurred vision in the right eye,decreased vi-sion for 10 d,accompanied by red eyes and a sense of shadow occlusion in front of the eyes.The patient was misdiagnosed with right iridocyclitis,and was treated with Glucocorticoid for 5 d,but no improvement was observed.After fundus examina-tion and aqueous humor intraocular fluid detection,ARN was confirmed.The misdiagnosis lasted 6 d.After diagnosis,antivi-ral,anti-inflammatory,anticoagulant treatment and neuronutritional support were given.The disease was well controlled and the patient was discharged.Conclusion Patients presenting with iridocyclitis,vitreous inflammation,and scattered yellowish-white circular necrotic lesions of the central retina should be carefully inquired about the history,undergo mydriasis examination of the fundus,and intra-ocular fluid detection when conditions permit.The possibility of ARN should be consid-ered to reduce missed diagnosis and misdiagnosis.
Keywords：Retinal necrosis syndromeacuteMisdiagnosisIridocyclitisPanuveitisRetinal detachmentIntraoc-ular fluid detectionVaricella-zoster virusFluorescein angiography
Publication Date：2024-11-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 28-32 )