The role of intravenous immunoglobulin in treatment of acute retinal necrosis.
OBJECTIVE
To describe a case of successful treatment of acute retinal necrosis with a combination of antivirals and intravenous immunoglobulin.


METHODS
This is a case report of a 77-year-old white man diagnosed with unilateral acute retinal necrosis.


RESULTS
Combination therapy with systemic antivirals, prophylactic laser retinopexy, and intravenous immunoglobulin halted progression of retinitis and preserved visual acuity.


CONCLUSIONS
Acute retinal necrosis is an aggressive disease with significant risk of vision loss even when treated with appropriate therapy. In this report, the authors describe a case of successful treatment with a combination of systemic antivirals and intravenous immunoglobulin. Intraocular antiviral injection plus systemic treatment remain to be a more cost-effective option.
From the *Department of Ophthalmology, School of Medicine, University Health Science Center, San Antonio, Texas; †Department of Ophthalmology, Veterans Affairs Boston Healthcare System, Jamaica Plain, Massachusetts; and ‡Department of Ophthalmology, School of Medicine, Boston University, Boston, Massachusetts.
Gelareh
G
Abedi
Manju L
ML
Subramanian
Edward
E
Feinberg
Steven D
SD
Ness