Fig. 1

Initial findings (A, B), after topical ganciclovir (C), at the onset of chronic retinal necrosis (D, E), and at the final visit (F). At the initial visit, slit-lamp examination shows keratic precipitates and anterior chamber cells in the left eye (OS) (A). A wide-field fundus camera photograph shows no retinitis or occlusive retinal vasculitis OS (B). Two weeks after the start of ganciclovir and steroid therapy, the iritis has resolved (C). Two months after the glaucoma surgery (3 months after the initial visit), occlusive vasculitis in the entire fundus and granular white lesions in the nasal fundus are seen OS (D); fluorescence angiography shows a non-perfusion area extending throughout the fundus (E). After combined therapy of oral ganciclovir for 3 weeks and panretinal photocoagulation, the occlusive vasculitis and granular retinitis have resolved (F)