急性视网膜坏死18例临床分析  

Acute Retinal Necrosis： A Report of 18 Cases

作　　者：李军[1] 曲新英[1] 

机构地区：[1]聊城市人民医院眼科,山东聊城252000

出　　处：《中国实用眼科杂志》2009年第9期1029-1031,共3页Chinese Journal of Practical Ophthalmology

摘　　要：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（S2．35％），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。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 vitrectomy 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.Conclusions Earlier administration 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.

关 键 词：急性视网膜坏死 玻璃体切除 眼内激光 

分 类 号：R774.1[医药卫生—眼科] R779.6[医药卫生—临床医学]