ACUTE RETINAL NECROSIS LATE IN THE 2ND-TRIMESTER

PURPOSE: To report treatment of a patient with acute retinal necrosis during pregnancy. METHODS: A 24-year-old woman in her twenty-third wee k of gestation was diagnosed with acute retinal necrosis. A combinatio n of acyclovir and interferon therapy was started at 25 weeks. Pars pl ana vitrectomy was performed during the 26th week of gestation. RESULT S: The necrotizing retina became gliotic within 3 weeks of surgery. Th e patient's visual acuity improved to LE, 20/40. A healthy baby was de livered at 39 weeks of gestation. CONCLUSION: Combination therapy of a cyclovir and interferon followed by surgery partially restored the pat ient's vision without affecting fetal development.