Clinical treatment of acute retinal necrosis syndrome

Objective To discuss the pathogeny, clinical acquit and treatment of acute retinal necrosis syndrome (ARNS). Methods 9 cases patients with 13 eyes diagnosed ARNS who were in our hospital and treated from December in 2002 to September in 2004 were operated by anti-virus medication, eyeground laser and vitreous-retinal surgery. Postoperative follow-up of the vision and the retinal replacement was 1m￣17m. Results Postoperative vision all improved by different degree in 9 cases patients with 13 eyes diagnosed ARNS except 1 case with boty eyes. 2 eyes'vision was HM/10cm, 5 eyes'vision was CF/20￣100cm, 1 eyes'vision was 0.05, 1 eyes'vision was 0.25 and 2 eyes'vision was 0.4 in the other 11 eyes. Mostly the useful vision was maintained. The retina of 5 cases with 7 eyes operated the vitreous-retinal surgery combined eyeground laser treatment and 3 cases with 4 eyes only operated the eyeground laser treatment all keeped flat. Conclusions ARNS is a serious syndrome leading to blindness. Most of the patient can be cured or turn for the better and the useful vision can be saved if ARNS can be finded carly and diagnosed accurately moreover be operated the accuratee ffectivea ssociatedt reatment.