急性视网膜坏死18例临床分析

目的 探讨急性视网膜坏死(acute retinal necrosis,ARN)的早期诊断和治疗方法.方法 回顾性研究18例21只眼急性视网膜坏死患者的临床表现和治疗方法.结果 17只眼玻璃体切除联合眼内硅油填充术,术后视网膜复位14只眼(82.35%),早期大剂量抗病毒药物治疗后单眼发病者未发现对侧眼发病.结论 尽早诊断和应用足量的抗病毒药物,结合预防性视网膜激光光凝和玻璃体切除术可提高急性视网膜坏死的治疗效果,同时减少对侧眼的发病率.

Acute Retinal Necrosis: A Report of 18 Cases

Objective To investigate the early diagnosis and treatment of acute retinal necrosis (ARN).Methods The clinical manifestations and therapeutic measures in 18 patients (21eyes) with ARN were studied retrospectively.Results Seventeen eyes of ARN patients were subjected to vitreetomy combined tamponade with silicone oil.Retinal reattachment achieved in 14 eyes (82.35%) after operation.The opposite eyes in single-eye involved patients were not suffered from the attack of acute retinal necrosis following early sufficient dose of antiviral therapy.Conelusions Earlier adminiswation of antiviral drugs in large dose coordinated with prophylactic vitrectomy can improve the therapeutic efficacy of ARN and simultaneously reduce the morbidity of opposite eyes.