Photocoagulation to prevent retinal detachment in acute retinal necrosis

Ophthalmology. 1988 Oct;95(10):1389-93. doi: 10.1016/s0161-6420(88)32999-4.


Retinal detachment (RD) occurs in more than 50% of eyes with acute retinal necrosis (ARN) and is the leading cause of visual loss in this syndrome. In order to decrease the incidence of RD in ARN, the authors treated 12 eyes of 10 patients with prophylactic laser photocoagulation. Retinal detachment occurred in two eyes (17%). Over the same time period, seven eyes with ARN did not receive prophylactic laser treatment, most often because of dense vitreous debris, with a 67% rate of RD. Prophylactic photocoagulation treatment should be considered in the management of patients with ARN.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Acyclovir / therapeutic use
  • Administration, Oral
  • Adult
  • Aged
  • Female
  • Humans
  • Injections, Intravenous
  • Light Coagulation* / adverse effects
  • Male
  • Middle Aged
  • Necrosis
  • Prednisone / therapeutic use
  • Retina / pathology*
  • Retinal Detachment / prevention & control*
  • Retinal Detachment / surgery
  • Retinitis / drug therapy
  • Syndrome
  • Visual Acuity


  • Prednisone
  • Acyclovir