手术治疗急性视网膜坏死5例报告  

A 5-Case report of treating acute retinal necrosis syndrome with operation

作　　者：李达璟 张皙[2] 李佩娟[2] 蔡文泉[2] 

机构地区：[1]江苏省泰州市第四人民医院眼科,225300 [2]上海市第一人民医院眼科

出　　处：《临床眼科杂志》2004年第5期418-420,共3页Journal of Clinical Ophthalmology

摘　　要：目的　通过 5例病例总结 ,探讨手术治疗急性视网膜坏死综合征 (acute retinal necrosis,ARN)的临床效果。方法　应用巩膜环扎联合玻璃体切除加气 /硅油交换手术治疗 ARN。结果　 5例患者 (5只眼 )均视网膜复位 ,裂孔封闭 ,视力提高至 0 .1～ 0 .15。结论　对急性视网膜坏死综合征 (ARN)后期致视网膜裂孔、脱离者 ,应用巩膜环扎联合玻璃体切除加气 /硅油交换手术治疗 ,可以解除玻璃体对视网膜的牵引 ,封闭视网膜裂孔 ,使脱离的视网膜复位 ,最大限度地挽救患眼视功能。Objective To discuss the clinical therapy of acute retinal necrosis syndrome(ARN) through summary of 5 cases. Methods The 5 ARN patients were treated with scleral buckling binding vitrectomy and gas/silicon oil exchange. Results Retinal reattachment and retinal breaks close were achieved in all patients and visual acuity were increased 0.1~0.15. Conclusion For ARN patients with retinal detachment,scleral buckling surgery binding vitrectomy and gas/silicon oil exchange can relieve the traction of vitreous body to retina,close retinal breaks and reattach the retina,It is usable in saving ARN patients visusl ability.

关 键 词：手术治疗 视网膜裂孔 巩膜环扎 急性视网膜坏死综合征 视网膜复位 玻璃体切除 联合 封闭 临床效果 患者 

分 类 号：R779.6[医药卫生—眼科]