Spontaneous regression and successful laser prophylaxis in progressive outer retinal necrosis syndrome.
OBJECTIVE
To describe a case of progressive outer retinal necrosis syndrome that regressed spontaneously after discontinuation of all systemic antiviral medications with macular sparing after prophylactic laser photocoagulation of the posterior pole.


METHODS
Prophylactic laser photocoagulation surrounding the posterior pole was performed in an attempt to spare the macula from detachment in a patient with progressive outer retinal necrosis.


RESULTS
Progressive outer retinal necrosis regressed spontaneously without systemic antiviral medications. The posterior pole within the area of photocoagulation remained attached.


CONCLUSIONS
Prophylactic laser treatment surrounding the posterior pole rather than peripheral retina may allow more time for formation of firm chorioretinal adhesions and protect the macula from detachment.
Cooper
H M
HM
Department of Ophthalmology, Albany Medical College, NY, USA.
Beer
P M
PM
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000293:Adolescent; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D012075:Remission, Spontaneous; D012160:Retina / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D012163:Retinal Detachment / Q000517:prevention & control / Q000601:surgery; D015882:Retinal Necrosis Syndrome, Acute / Q000503:physiopathology* / Q000601:surgery / Q000821:virology