How is acute retinal necrosis and progressive outer retinal necrosis in HIV infection diagnosed?

Updated: Jun 12, 2019
  • Author: Robert A Copeland, Jr, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

For diagnosis of acute retinal necrosis (ARN), perform a detailed history and a complete ophthalmologic examination with dilated funduscopic examination. Check for HSV-1, HSV-2, and CMV IgG and IgM titers.

The workup of progressive outer retinal necrosis (PORN) is similar to that for ARN, except that the serology focuses on varicella-zoster virus (ZVZ) IgG and IgM titers.


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