title: Epstein-Barr virus and acute retinal necrosis in a 5-year-old immunocompetent child.
abstract: OBJECTIVE
  To describe a case of bilateral acute retinal necrosis syndrome (ARNS) in a 5-year-old boy.
  
  
  METHODS
  A retrospective, interventional case is described in one child attending the pediatric ophthalmology section, complaining of sudden bilateral red eye and haze-impaired vision. A standardized ophthalmologic examination and specific serological probes supported the diagnosis of severe bilateral ARNS in an immunocompetent child.
  
  
  RESULTS
  The reduced visual acuity (<20/400), the ocular fundus signs (perivasculitis, thrombosis and retinal edema) and the positive immunoglobulin M anti-Epstein Barr virus serology, lead us to the ARNS definitive diagnosis. Antiviral therapy (Acyclovir; Zovirax((R))), ciclopentolate dilating eye drops, and antiplatelet treatment (acetil salicylic acid; Aspirin((R))) were administered until recovering the final visual acuity (20/40).
  
  
  CONCLUSIONS
  The ARNS is an ocular disease with poor prognosis, which in turns may display better course when determining the etiopathogenic virus and selecting the appropriate and precocious therapy.
authors: Ophthalmology Department, University Hospital, La Fe, Av/Campanar 21, Valencia, Spain. robertogallego@comv.es
authors: Roberto
authors: R
authors: Gallego-Pinazo
authors: Miguel
authors: M
authors: Harto
authors: Jose J
authors: JJ
authors: Garcia-Medina
authors: Inmaculada
authors: I
authors: Serra
authors: Enrique
authors: E
authors: España
authors: Maria D
authors: MD
authors: Pinazo-Duran