玻璃体切除治疗急性视网膜坏死综合征临床观察

Clinical observation of vitrectomy on acute retinal necrosis syndrome

目的:探讨急性视网膜坏死综合征(acute retinal necrosis syndrome,ARNS)的治疗方案选择及治疗效果分析。方法:对2003-01/2009-01收治的56例64眼ARNS患者的临床表现、治疗方案、治疗效果进行回顾性分析。

AIM： To investigate the diagnosis and treatment of acute retinal necrosis syndrome （ARNS）. METHODS： The manifestation, diagnosis, treatment and prognosis of 64 eyes in 56 cases of ARNS from Jan. 2003 to Jan. 2009 were retrospectively analyzed. RESULTS： After treatment, visual acuity improved in 37 eyes （58%）. Final visual acuity was lower than 0.05 in 23 eyes （36%）. Signs were controlled in 58 eyes （91%）. CONCLUSION： The diagnosis of ARNS should be mainly based on clinical manifestation, fundus fluorescein angiography （FFA） and indocyanine green angiography （ICGA）. Early and sufficient treatment with antiviral agents,corticosteroid and prophylactic laser photocoagulation, sometimes vitrectomy are necessary to control the disease.