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Data from the medical records of 40 eyes of 40 patients were analyzed. Acute retinal necrosis ARN is an infectious pan-uveitis syndrome caused mainly by the herpes viruses family, including herpes simplex virus HSV-1, HSV-2 and varicella-zoster virus VZV with some distinct clinical features 1. ARN presents with circumferential progressive necrotizing retinitis accompanying vitreous inflammation. Severe blinding complications associated with ARN include retinal detachment RD with proliferative vitreoretinopathy PVR, optic neuritis, macular involvement, and ischemic vasculitis 3, 4. Prompt antiviral treatment is necessary to manage inflammation and prevent devastating complications and the involvement of the fellow eye 2. The consensus treatment includes the induction phase with intravenous acyclovir or oral valacyclovir and the maintenance phase.

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