Justin Yamanuha

Medical Retina Specialist Consultant, Mayo Clinic Health System Franciscan Healthcare,
La Crosse, Wisconsin, Assistant Professor of Ophthalmology, Mayo Clinic, Rochester, Minnesota
Tanzania

Publications

Research Article
Varicella Zoster Acute Retinal Necrosis: A Case Report and Brief Review of the Literature
Author(s): Justin Yamanuha, Bharath Raj Palraj, Ala S Dababneh and Olivia R Mohan Justin Yamanuha, Bharath Raj Palraj, Ala S Dababneh and Olivia R Mohan

A 50-year-old woman with well controlled hypertension, hyperlipidemia, plaque psoriasis, exercise induced asthma, and migraine headaches presented with a few days of right eye pain. She was diagnosed with a migraine headache and referred to an Optometrist and ultimately to an Ophthalmologist. On examination, she had significant anterior and posterior uveitis, hemorrhagic retinitis, and optic nerve edema in the right eye. An ocular aqueous fluid sample was obtained and sent for polymerase chain reaction (PCR) testing for viral deoxyribonucleic acid (DNA) and came back positive for Varicella Zoster Virus (VZV). The patient was diagnosed with Zoster acute retinal necrosis (ARN) and treated with intravitreal (intraocular) injections of Ganciclovir and Foscarnet as well as intravenous Acylovir and then oral Valacyclovir (Valtrex) as well as oral prednisone. ARN is a rare clinical entity ca.. Read More»
DOI: 10.4172/2469-9756.1000126

Abstract PDF