title: Analysis of retinal findings of acute retinal necrosis using optical coherence tomography.
abstract: OBJECTIVE
  To analyze the retinal findings in patients with ARN, optical coherence tomography (OCT) was performed.
  
  
  METHODS
  Seven patients (7 eyes) with ARN were studied using OCT.
  
  
  RESULTS
  OCT images depicted highly reflective areas in the inner layers of the retina in all seven cases, corresponding with the yellowish-white lesions of the retina in the acute phase. Disorganization of the retinal structure was also observed in these retinal lesions, especially in cases with severe inflammation. Subretinal changes including retinal exudate and/or fluid were observed in only one case. After regression of the yellowish-white lesions in the retina, a significant reduction in retinal thickness was observed on OCT.
  
  
  CONCLUSIONS
  OCT permits the detection of full-thickness retinal necrosis in the acute phase and complete absence of retinal structure in the resolution phase, corresponding with the yellowish-white lesions seen in patients with ARN.
authors.affiliation: Department of Ophthalmology, Tokyo Medical University Hospital, Tokyo, Japan. jun-s@qc4.so-net.ne.jp
authors.forename: Jun
authors.initials: J
authors.lastname: Suzuki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Goto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Minoda
authors.forename: Takuya
authors.initials: T
authors.lastname: Iwasaki
authors.forename: J
authors.initials: J
authors.lastname: Sakai
authors.forename: Masahiko
authors.initials: M
authors.lastname: Usui
mesh_terms: D000328:Adult; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012160:Retina / Q000473:pathology*; D015882:Retinal Necrosis Syndrome, Acute / Q000175:diagnosis*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D041623:Tomography, Optical Coherence