PMC3334225_01
T2-weighted magnetic resonance imaging findings. . Note: No changes were observed in the signal intensity of the inferior frontal lobe and insular cortex.
opth-6-551f1.jpg
PMC3334225_01_opth-6-551f1.jpg
f1-opth-6-551
T2-weighted magnetic resonance imaging revealed no findings of herpetic encephalitis, such as hyperintensity corresponding to edematous changes in the temporal lobes (Figure 1). Therefore, viral meningitis was suspected and administration of intravenous acyclovir was initiated at 750 mg every 8 hours (10 mg/kg every 8 hours; the patient's body weight was 75 kg).
(A) Ophthalmoscopic findings at the time of diagnosis of ARN. Optic disc swelling, macular edema, exudation along blood vessels, narrowing of arterioles, dilatation of venules, and superficial hemorrhages were observed in both retinas. (B) Ophthalmoscopic findings 19 days after retinal photocoagulation. Optic disc swelling, macular edema, and exudation following the course of blood vessels were alleviated in both eyes. Central retinal vein occlusion was observed in the left eye, resulting in neovascular glaucoma.
opth-6-551f2.jpg
PMC3334225_01_opth-6-551f2.jpg
f2-opth-6-551
Optic disc swelling, macular edema, exudation along blood vessels, narrowing of arterioles, dilatation of venules, and superficial retinal hemorrhages were observed in both retinas (Figure 2A). All sight was lost due to neovascular glaucoma approximately 1 month after the occurrence of the hemorrhage; however, rhegmatogenous retinal detachment was prevented by photocoagulation in both eyes (Figure 2B).