Concomitant Intravitreal Ganciclovir and Dexamethasone Thera
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Acute retinal necrosis (ARN) is a rare but well-recognized infectious uveitis resulting in rapidly progressive necrosis. The prognosis for vision recovery is guarded even with treatment and very poor without treatment. Optimal treatment includes prompt control of both viral multiplication and inflammation for outpatient settings. Several treatments regimens have been reported since the initially reported successful outcomes with intravenous acyclovir including intravitreal injection of antiviral with and without concurrent systemic antiviral and corticosteroids.

Treatment with intravitreal injection of ganciclovir and dexamethasone in a patient already treated with oral antiviral medication has not previously been reported. This article describes a case indicating the utility of intravitreal injection of ganciclovir and dexamethasone in a patient previously treated with seven-day course of oral famciclovir.

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