摘要
目的分析11例急性视网膜坏死综合征的诊断和治疗过程，探讨临床更合理治疗急性视网膜坏死方案。方法对11例13只眼急性视网膜坏死综合征患者分析临床表现和治疗措施。结果治疗随访6个月，9只眼视力不同程度提高，2只眼视力无变化，1只眼视力下降，1只眼未经治疗，视力无光感。视力提高与发病时间长短有关，与是否经过玻璃体视网膜手术相关不明显。经预防性周边视网膜激光光凝者视网膜脱离发生率小于未行光凝者。结论所有治疗病例出院时病情得到有效控制、视力有不同程度提高。发病时间的长短与视力恢复有关，早期诊断及时治疗对恢复视力有重要作用。预防性视网膜激光光凝治疗可降低ARN患者视网膜脱离的发生率。
Objective To analyze the diagnosis and treatments of 13 eyes of acute retinal necrosis syndrome, and investigate more reasonable clinical solutions of it. Methods Retrospective studied the clinical manifestations and treatment measures of 13 eyes of 11 cases of acute retinal necrosis syndrome. Onset time of each case, ocular manifestations, treatment and outcome were analyzed. Results All the patients were followed up for 6 months, visual acuity improved in 9 eyes, remain unchanged 2 eyes, decrease 1 eye, untreated 1 eye with no light perception. Visual acuity improvement was related to the onset time, and it was not obvious related to whether or had no vitreoretinal surgery. The incidence of retinal detachment of patients who had the prophylactic peripheral retinal laser photocoagulation was less than those who did not. Conclusions The condition of all patients is effectively controlled when discharged from hospital, visual acuity improved. The length of time of onset is related to the restoration of vision. Early diagnosis and treatments have an important role in the final vision too. Preventive treatment of retinal laser photocoagulation can reduce the incidence of retinal detachment for ARN patients.
出处
《中国实用眼科杂志》
CSCD
北大核心
2011年第12期1280-1282,共3页
Chinese Journal of Practical Ophthalmology
关键词
急性视网膜坏死
诊断
治疗
Acute retinal necrosis syndrome
Diagnosis
Treatment
