CAJ | 학술논문

目的分析11例急性视网膜坏死综合征的诊断和治疗过程,探讨临床更合理治疗急性视网膜坏死方案.方法对11例13只眼急性视网膜坏死综合征患者分析临床表现和治疗措施.结果治疗随访6个月,9只眼视力不同程度提高,2只眼视力无变化,1只眼视力下降,1只眼未经治疗,视力无光感.视力提高与发病时间长短有关,与是否经过玻璃体视网膜手术相关不明显.经预防性周边视网膜激光光凝者视网膜脱离发生率小于未行光凝者.结论所有治疗病例出院时病情得到有效控制、视力有不同程度提高.发病时间的长短与视力恢复有关,早期诊断及时治疗对恢复视力有重要作用.预防性视网膜激光光凝治疗可降低ARN患者视网膜脱离的发生率.
목적 분석11례급성시망막배사종합정적진단화치료과정,탐토림상경합리치료급성시망막배사방안.방법 대11례13지안급성시망막배사종합정환자분석림상표현화치료조시.결과 치료수방6개월,9지안시력불동정도제고,2지안시력무변화,1지안시력하강,1지안미경치료,시력무광감.시력제고여발병시간장단유관,여시부경과파리체시망막수술상관불명현.경예방성주변시망막격광광응자시망막탈리발생솔소우미행광응자.결론 소유치료병례출원시병정득도유효공제、시력유불동정도제고.발병시간적장단여시력회복유관,조기진단급시치료대회복시력유중요작용.예방성시망막격광광응치료가강저ARN환자시망막탈리적발생솔.
Objective To analyze the diagnosis and treatments of 13 eyes of acute retinal necrosis syndrome,and investigate more reasonable clinical solutions of it.Methods Retrospective studied the clinical manifestations and treatment measures of 13 eyes of 11 cases of acute retinal necrosis syndrome.Onset time of each case,ocular manifestations,treatment and outcome were analyzed.Results All the patients were followed up for 6 months,visual acuity improved in 9 eyes,remain unchanged 2 eyes,decrease 1 eye,untreated 1 eye with no light perception.Visual acuity improvement was related to the onset time,and it was not obvious related to whether or had no vitreoretinal surgery.The incidence of retinal detachment of patients who had the prophylactic peripheral retinal laser photocoagulation was less than those who did not.Conclusions The condition of all patients is effectively controlled when discharged from hospital,visual acuity improved.The length of time of onset is related to the restoration of vision.Early diagnosis and treatments have an important role in the final vision too.Preventive treatment of retinal laser photocoagulation can reduce the incidence of retinal detachment for ARN patients.