|Year : 2020 | Volume
| Issue : 9 | Page : 1974
Persistence of Kyrieleis arteriolitis in bilateral acute retinal necrosis
Hrishikesh Kaza, Anamika Patel, Avinash Pathengay
Vitreoretina and Uveitis Services, L V Prasad Eye Institute, GMRV Campus, Visakhapatnam, Andhra Pradesh, India
|Date of Web Publication||20-Aug-2020|
Dr. Hrishikesh Kaza
Vitreoretina and Uveitis Services, L V Prasad Eye Institute, GMRV Campus, Visakhapatnam - 530 040, Andhra Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Kaza H, Patel A, Pathengay A. Persistence of Kyrieleis arteriolitis in bilateral acute retinal necrosis. Indian J Ophthalmol 2020;68:1974
|How to cite this URL:|
Kaza H, Patel A, Pathengay A. Persistence of Kyrieleis arteriolitis in bilateral acute retinal necrosis. Indian J Ophthalmol [serial online] 2020 [cited 2020 Sep 21];68:1974. Available from: http://www.ijo.in/text.asp?2020/68/9/1974/292542
A 36-year-old immunocompetent male presented with bilateral acute retinal necrosis (BARN). Bilateral Kyrieleis arteriolitis continued to persist even after 4 months of retinitis resolution and discontinuation of therapy [Figure 1]a and [Figure 1]b Kyrieleis arteriolitis were described as focal segmental intra-arterial plaques that simulate arterial emboli. They remain within the arterial wall or endothelium  and can be seen in tuberculosis, toxoplasmosis, cytomegalovirus (CMV) retinitis, syphilis, and Behcet's. There occurs deposition of immune cells or inflammatory debris within the vessel wall as an inflammatory response to infectious agents. Therefore, persistence of Kyrieleis could occur even after the resolution of retinitis.
|Figure 1: (a) Right eye fundus photograph showing resolved acute retinal necrosis and presence of Kyrieleis arteriolitis (b) Left eye fundus photograph showing resolved acute retinal necrosis and presence of Kyrieleis arteriolitis. Presence of horseshoe tear at inferotemporal quadrant which was subsequently lasered|
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The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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| References|| |
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