Clinical ananlysis of the treatment of acute retinal necrosis syndrom with 15 cases
Ran Bi
Abstract
Ran Bi
Abstract
Objective To observe the treatment of acute retinal necrosis syndrome(ARN).Method The treatment case of 18 eyes with ARN in 15 patients during September 2005 to September 2010 were reviewed.Results All cases should have early after definite diagnosis application of antiviral drugs.At the same time according to the eye situation,we should have prophylactic retinal laser photocoaqulation when appearing small hiatus,relatively vitreous opacity.While when the eyes were with severe vitreous opacity and the larger retinal hole or combined with retinal detachment,we requird vitrectomy operation treatment.In 15 cases(18 eyes) of ARN patients,after treatment they were with visual acuity improved in 15 eyes(83.33%),3 months after the treatment of vision were:0.01 in 1 eye(5.56%),0.04~0.1 in 8 eyes(44.44%),0.1~0.5 in 5 eyes(27.78%),0.6~0.8 in 3 eyes(16.67%).Due to repeated illness,one eye had the second treatment with vitrectomy,but the visual acuity was not improved obviously.Conclusion All cases had vations degrees of control.ARN should be diagnosed early,in the application of antiviral drug combined with prophylactic retinal laser photocoagulation and vitrectomy can effectively control the disease,improve the therapeutic effect and rescue the visual function of patients.
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Objective To observe the treatment of acute retinal necrosis syndrome(ARN).Method The treatment case of 18 eyes with ARN in 15 patients during September 2005 to September 2010 were reviewed.Results All cases should have early after definite diagnosis application of antiviral drugs.At the same time according to the eye situation,we should have prophylactic retinal laser photocoaqulation when appearing small hiatus,relatively vitreous opacity.While when the eyes were with severe vitreous opacity and the larger retinal hole or combined with retinal detachment,we requird vitrectomy operation treatment.In 15 cases(18 eyes) of ARN patients,after treatment they were with visual acuity improved in 15 eyes(83.33%),3 months after the treatment of vision were:0.01 in 1 eye(5.56%),0.04~0.1 in 8 eyes(44.44%),0.1~0.5 in 5 eyes(27.78%),0.6~0.8 in 3 eyes(16.67%).Due to repeated illness,one eye had the second treatment with vitrectomy,but the visual acuity was not improved obviously.Conclusion All cases had vations degrees of control.ARN should be diagnosed early,in the application of antiviral drug combined with prophylactic retinal laser photocoagulation and vitrectomy can effectively control the disease,improve the therapeutic effect and rescue the visual function of patients.
Key concepts: Medicine, Vitrectomy, Acute retinal necrosis, Ophthalmology, Visual acuity, Retinal, Retinal detachment, Laser treatment