Intravitreal Haemorrhage Complicating Acute Retinal Necrosis Syndrome Associated with Herpetic Vasculitis of the Other Eye: Diagnosis and Treatment Modalities

The purpose of the study is to present a complicated case who present a very rare retinal viral infection masqued initially by intravitreal hemorrhage. We report the case of a 24-year-old patient with chronic asthma on inhaled beta-2 mimetics and corticosteroids who had been presenting with reduced visual acuity in the right eye with bilateral myodesopsias for 6 months. We suspected acute retinal necrosis syndrome of the right eye and vasculitis of the left eye and we carried out serologies which came back positive for HSV2. We also carried out a puncture of the anterior chamber for analysis of the PCR polymerase chain which came back positive for HSV2, and the treatment was immediately started with therapeutically, the patient was placed on intravenous (IV) acyclovir. The treatment of cystoid macular edema, refractory to corticosteroids, with interferon alpha-2a appears promising in terms of its efficacy and tolerability.