Sindrom akutne retinalne nekroze

master's thesis

• Title (english): Acute Retinal Necrosis Syndrome
• Author: Mislav Jakopović
• Mentor: Dalibor Vukelić (mentor)
• Committee member: Adriana Vince (predsjednik povjerenstva)
• Committee member: Josip Begovac (član povjerenstva)
• Committee member: Dalibor Vukelić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Infectious Diseases); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Infectology
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Ophthalmology

Abstract

U radu prikazujem dijagnostičke postupke i liječenje bolesnice oboljele od akutne retinalne nekroze uzokovane varicella zoster virusom. Neke bolesti oka poput akutne retinalne nekroze i bakterijskog endoftalmitisa mogu biti brzog i progresivnog tijeka pa zahtijevaju brzo provovođenje dijagnostičkih postupaka koji olakšavaju pravilan i pravovremen izbor načina liječenja. Gubitak vida moguća je posljedica stražnjeg uveitisa, neovisno o etiologiji bolesti. Do gubitka vida češće dolazi u slučaju zakašnjelog liječenja, no nažalost gubitak vida moguć je i u slučaju ispravnog i na vrijeme započetog liječenja. Pogriješimo li u načinu liječenja, možemo direktno utjecati na neželjen ishod bolesti. Tako, na primjer, ukoliko se kod uveitisa uzrokovanog toksoplazmom započne empirijsko liječenje steroidima, tijek bolesti bit će teži. Detaljan pregled i obrada ključni su za postavljanje dijagnoze, a problem je što slika infekcioznog uveitisa može nalikovati neinfekcioznom uveitisu, a također i promjenama u tijeku maligne bolesti.

Abstract (english)

In this graduate thesis I will describe diagnostic procedures and treatment of a patient with acute retinal necrosis caused by varicella zoster virus. Some disorders, such as acute retinal necrosis and bacterial endophthalmitis, can be rapidly progressive, and therefore require prompt and accurate diagnosis to guide initial therapy. Vision loss in infectious posterior uveitis can occur if proper treatment is delayed or even if it is not delayed. Wrong treatment can lead to negative outcome, for example, treatment of posterior uveitis caused by Toxoplasma with corticosteroids and without antimicrobial therapy. Detailed physical examination and diagnostic procedures are key for a diagnosis, but sometimes it is hard to distinguish infectious uveitis from non-infectious uveitis or even manifestations of malignant tumor.

• Keywords: akutna retinalna nekroza; varicella zoster virus; stražnji uveitis
• Keywords (english): acute retinal necrosis; varicella zoster virus; posterior uveitis
• Language: croatian
• URN:NBN: urn:nbn:hr:105:819329
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-01-17 10:31:48