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¹M.D. Asistant Professor, Baskent University Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY
²M.D. Asistant, Baskent University Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY
³M.D. Asistant Professor, Baskent University Faculty of Medicine, Department of Ophthalmology, Istanbul/TURKEY
⁴M.D. Associate Professor, Baskent University Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY
⁵M.D. Professor, Baskent University Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY A 58-year-old man presented with central retinal vascular occlusion with optic nerve pallor and vitreous reaction in the left eye and optic disk edema and venous dilatation in the right eye. The patient treated with systemic corticosteroid for presumed optic neuropathy with arteritic etiology and intravitreal triamcinolone acetonide injection applied for vasculitic leakage and intense vitreous inflammation. Three days after, retinal exudation and serous detachment areas appeared in the left eye resembling an unusual presentation of ARN. After the prompt antiviral therapy, retinal lesions in the left eye disappeared and right optic disk edema resolved. This case suggests that central retinal vascular occlusion with intense vitreous reaction, and contralateral optic disk edema should be suspected as the prodromal symptomps of ARN. Systemic steroids should be avoided in these suspicious cases. Keywords : Acute retinal necrosis, optic neuropathy, steroid therapy, immunocompetent patient