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What is your approach to antiviral treatment of HSV acute retinal necrosis?

Is there a role for oral antiviral therapy alone (as opposed to induction with IV) and for what duration? And is there a role for ongoing suppressive antiviral therapy thereafter?
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Do you recommend chronic, lifelong antiviral suppression for patients with HSV acute retinal necrosis?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Infectious Disease · Zucker School of Medicine at Hofstra / Northwell
Answered on

Acute Retinal Necrosis (ARN) is a rapidly progressive syndrome usually caused by varicella-zoster virus (VZV)and herpes simplex virus 1 or 2 (HSV). The syndrome is rapidly progressive in the absence of antiviral treatment. PCR performed on aqueous or vitreous sampling is highly sensitive and strongl...

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