激光光凝治疗双侧视网膜动脉炎伴多发性瘤样动脉扩张一例  

One Case of Idiopathic Retinal Vasculitis Aneurvsms and Neuroretinitis (IRVAN) Syndrome Treated by Laser Photocoagulation

作　　者：伍志琴[1,2] 聂尚武[1,2] 呙明[1,2] 黄辉[1,2] 龚晓璐 Wu Zhiqin;Nie Shangwu;Guo Ming;Huang Hui;Gong Xiaolu(Department of Ophthalmology,Jingzhou Central Hospital,Jingzhou,Hubei 434020,China;The Second Clinical Medical College,Yangtze University,Jingzhou,Hubei 434100,China)

机构地区：[1]荆州市中心医院眼科,湖北荆州434020 [2]长江大学第二临床医学院,湖北荆州434100

出　　处：《应用激光》2021年第5期1138-1142,共5页Applied Laser

摘　　要：视网膜动脉炎伴多发性瘤样动脉扩张(IRVAN)是一种临床上少见的疾病,治疗上比较棘手,自然预后较差。报道一位55岁女性患者,因"双眼视力下降2年余,右眼视物变形约50天"入院。眼底可见双眼视网膜表面大量黄白色片状硬性渗出,右眼颞上方及左眼视盘可见血管瘤样扩张,右眼黄斑区可见膜状皱褶。该患者主要诊断为双侧视网膜动脉炎伴多发性瘤样动脉扩张。予双眼视网膜无灌注区行局部激光光凝治疗。激光术后,患者视力提高、黄斑水肿减轻、硬性渗出减少。经过近2年的随访,患者病情稳定。激光治疗IRVAN综合征是一种有效的方法。Idiopathic retinal vasculitis aneurvsms and neuroretinitis(IRVAN) is a rare syndrome. The treatment is difficult and the natural prognosis is poor. We herein report a case of 55 years old and female patient. Her chief complaints were the vision loss of both eyes for more than 2 years and the visual distortion of right eye for about 50 days. A large number of retinal hard exudates could been seen in both retinas, and retinal vasculitis aneurvsms could been determined in the superior temporal of right eye and upon the optic disk of left eye. And epiretinal membrane could been seen around the macular area of the right eye. The main diagnosis of the patient is idiopathic retinal vasculitis aneurvsms and neuroretinitis(IRVAN) syndrome. Local laser photocoagulation therapy was been taken for the perfusion-free area. After the laser treatment, the patient’s visual acuity was improved, macular edema and retinal hard exudate were reduced. After nearly 2 years of follow-up, the patient’s condition was stable. Local laser photocoagulation therapy is an effective means for the patients with IRVAN syndrome.

关 键 词：视网膜动脉炎伴多发性瘤样动脉扩张 激光治疗 病例报告 

分 类 号：R732.2[医药卫生—肿瘤]