Progressive outer retinal necrosis and acute retinal necrosis in fellow eyes of a patient with acquired immunodeficiency syndrome

PURPOSE: To describe an unusual concurrence of acute retinal necrosis and p rogressive outer retinal necrosis in fellow eyes of a patient with acquired immunodeficiency syndrome (AIDS). METHODS: Interventional case report. In a 37-year-old man with AIDS and her pes zoster keratitis in the right eye, progressive outer retinal necrosis d eveloped in the right eye and acute retinal necrosis developed in the left eye. RESULTS: Disparate presentations of retinitis persisted in each eye, and re tinal detachment and vision loss ensued in both eyes despite antiviral ther apy. CONCLUSION: Distinct features of acute retinal necrosis and progressive out er retinal necrosis do not necessarily reflect systemic factors, and they m ay be variant manifestations of the same underlying infection. (Am J Ophtha lmol 2001;132:421-423. (C) 2001 by Elsevier Science Inc. All rights reserve d.).