急性视网膜坏死9例临床分析

目的观察急性视网膜坏死综合征(ARN)的临床治疗效果。方法回顾分析ARN 9例(12眼)。分析治疗过程及预后。结果9例(12眼)ARN术后视力均有不同程度提高,数指/眼前者1眼,数指/20~40 cm者2眼,0.01者4眼,0.25者1眼,0.4者2眼,0.5者2眼。3例(5眼)予以玻璃体切除和光凝治疗,2例(2眼)给予氩激光光凝。经长期观察患眼视网膜均平复。结论急性视网膜坏死综合征是一种严重损害视功能的眼内感染疾病,无并发症的出现可给予抗病毒、皮质类固醇等药物治疗,必要时行玻璃体切除手术治疗是行之有效的治疗方法。

The clinical analysis of acute retinal necrosis in 9 cases

Objective To observe the treatment of acute retinal necrosis syndrome(ARNS). Methods Review 12 eyes with 8 ARNS patients during 2006.9-2007.9.The clinical treatment and outcome were analyzed. Results Postoperative vision were improved by different degree in 9 cases of 12 eyes diagnosed ARNS.The vision was HM/BE in 1 eye,CF/20cm~CF/40cm in 2 eyes,0.01 in 4 eyes,0.25 in 1 eye,0.4 in 2 eyes,0.5 in 2 eyes.3 cases(5 eyes) had undergone vitreous-retinal surgery combined retinal laster treatment and 2 cases(2 eyes) only undergone retinal laser treatment. Conclusion ARNS is an intraocular infectious disease that injuries vision severely.Corticosteroid combine with anti-virus medicine,vitrectomy(if necessity) are useful treatments.