{"id":72439,"date":"2021-11-18T13:02:59","date_gmt":"2021-11-18T13:02:59","guid":{"rendered":"https:\/\/www.atlasrleye.com\/progressive-outer-retinal-necrosis\/"},"modified":"2025-07-22T00:22:12","modified_gmt":"2025-07-22T00:22:12","slug":"progressive-outer-retinal-necrosis","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/en\/progressive-outer-retinal-necrosis\/","title":{"rendered":"PROGRESSIVE OUTER RETINAL NECROSIS"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_custom_heading text=&#8221;CHORIORETINAL INFLAMMATORY DISEASES &#8211; Infectious Causes&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632633206-1ea7c58a-5d24|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; add_icon=&#8221;true&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:44px|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221;]<div class=\"ult-spacer spacer-6a03c8acbc14c\" data-id=\"6a03c8acbc14c\" data-height=\"30\" data-height-mobile=\"0\" data-height-tab=\"\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">The progressive outer retinal necrosis (PORN) syndrome is a clinical variant of necrotizing herpetic retinopathy in profoundly immunocompromised patients with a large percentage of those infected with advance AIDS (&lt; 50 cells CD4). It is characterized by multifocal, patchy, retinal opacification that starts in the posterior pole and spreads rapidly to involve the entire retina. Patients with PORN usually present rapid progression with minimal anterior chamber inflammation, with no vitritis or retinal vasculitis allowing this entity to be distinguished from acute retinal necrosis. Optic nerve involvement can also occur, presenting as a papillitis or neuroretinitis.<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">Despite aggressive therapy with antiviral drugs, prognosis is poor. The disease progression and\/or recurrence are common and the majority of patients develop no light perception vision. Total retinal detachments are common.<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">Clinical symptoms include unilateral or sometimes bilateral decreased vision, floaters, and constriction of visual fields. There are no complaints of pain.<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">Differential Diagnosis:<\/p>\n<ul style=\"font-size: 16px;\">\n<li>Cytomegalovirus retinopathy<\/li>\n<li>Acute retinal necrosis (ARN)<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][vc_images_carousel images=&#8221;8410,8409&#8243; img_size=&#8221;medium&#8221; speed=&#8221;2000&#8243; autoplay=&#8221;yes&#8221; hide_pagination_control=&#8221;yes&#8221; wrap=&#8221;yes&#8221; css=&#8221;.vc_custom_1749087601893{margin-bottom: 10px !important;}&#8221;]<div class=\"stats-block stats-left  \"><div class=\"aio-icon-left\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon square \"  style=\"color:#333333;background:#ffffff;font-size:32px;display:inline-block;\">\n\t<i class=\"Defaults-eye\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"stats-desc\" id=\"counter-responsv-wrap-2128\"><div id=\"counter_31063033846a03c8acbc3a2\" data-id=\"counter_31063033846a03c8acbc3a2\"  data-ultimate-target='#counter-responsv-wrap-2128 .stats-number'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  class=\"stats-number ult-responsive\" style=\"font-size:28px;  \" data-speed=\"3\" data-counter-value=\"1\" data-separator=\",\" data-decimal=\".\">0<\/div><div id=\"title-counter_31063033846a03c8acbc3a2\"  data-ultimate-target='#counter-responsv-wrap-2128 .stats-text'  data-responsive-json-new='{\"font-size\":\"desktop:16px;\",\"line-height\":\"\"}'  class=\"stats-text ult-responsive\" style=\"font-size:px;  font-weight:bold;\">Clinical Cases<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1749087620803{margin-bottom: 10px !important;}&#8221;]<\/p>\n<h1><strong><span style=\"color: #5f1b52;\">Clinical Cases<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/4&#8243;][vc_column_text css=&#8221;.vc_custom_1749087632693{margin-bottom: 0px !important;}&#8221;]<\/p>\n<h4 style=\"text-align: left;\"><a href=\"https:\/\/www.atlasrleye.com\/en\/progressive-outer-retinal-necrosis\/clinical-case-1\/\">Clinical Case 1<\/a><\/h4>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;8409,8410&#8243; img_size=&#8221;140&#8243; css=&#8221;.vc_custom_1753143690201{margin-bottom: 10px !important;margin-left: -20px !important;}&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/5&#8243; offset=&#8221;vc_col-xs-1\/5&#8243;]<div class=\"aio-icon-component    style_1\"><div id=\"Info-box-wrap-2048\" class=\"aio-icon-box default-icon\" style=\"\"  ><div class=\"aio-icon-default\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon none \"  style=\"color:#5f1b52;font-size:16px;display:inline-block;\">\n\t<i class=\"Defaults-calendar\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"aio-icon-header\" ><h3 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-2048 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"color:#5f1b52;\">1<\/h3><\/div> <!-- header --><\/div> <!-- aio-icon-box --><\/div> <!-- aio-icon-component -->[\/vc_column_inner][vc_column_inner width=&#8221;1\/5&#8243; offset=&#8221;vc_col-xs-1\/5&#8243;]<div class=\"aio-icon-component    style_1\"><div id=\"Info-box-wrap-5161\" class=\"aio-icon-box default-icon\" style=\"\"  ><div class=\"aio-icon-default\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon none \"  style=\"color:#5f1b52;font-size:16px;display:inline-block;\">\n\t<i class=\"Defaults-camera\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"aio-icon-header\" ><h3 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-5161 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"color:#5f1b52;\">10<\/h3><\/div> <!-- header --><\/div> <!-- aio-icon-box --><\/div> <!-- aio-icon-component -->[\/vc_column_inner][vc_column_inner width=&#8221;1\/5&#8243; offset=&#8221;vc_col-xs-1\/5&#8243;]<div class=\"aio-icon-component    style_1\"><div id=\"Info-box-wrap-3736\" class=\"aio-icon-box default-icon\" style=\"\"  ><div class=\"aio-icon-default\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon none \"  style=\"color:#5f1b52;font-size:16px;display:inline-block;\">\n\t<i class=\"Defaults-film\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"aio-icon-header\" ><h3 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-3736 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"color:#5f1b52;\">0<\/h3><\/div> <!-- header --><\/div> <!-- aio-icon-box --><\/div> <!-- aio-icon-component -->[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_custom_heading text=&#8221;CHORIORETINAL INFLAMMATORY DISEASES &#8211; Infectious Causes&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632633206-1ea7c58a-5d24|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; add_icon=&#8221;true&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:44px|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243;][vc_column_text] The progressive outer retinal necrosis (PORN) syndrome is a clinical variant of necrotizing [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-72439","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/72439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/comments?post=72439"}],"version-history":[{"count":11,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/72439\/revisions"}],"predecessor-version":[{"id":118551,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/72439\/revisions\/118551"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/media?parent=72439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}