中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
8期
588-591
,共4页
急性视网膜坏死%视网膜脱离%药物%激光%玻璃体切除术
急性視網膜壞死%視網膜脫離%藥物%激光%玻璃體切除術
급성시망막배사%시망막탈리%약물%격광%파리체절제술
Acute retinal necrosis syndrome%Retinal detachment%Medicine%Laser photocoagulation%Vitrectomy
目的 探讨急性视网膜坏死综合征临床治疗方法.方法 对急性视网膜坏死综合征30例36眼分别进行抗病毒药物联合激光治疗,或进行玻璃体视网膜手术联合药物治疗.对于已并发视网膜脱离17眼和药物联合激光治疗病情不能控制的6眼,行玻璃体视网膜手术,观察视力和视网膜情况.结果 36眼视网膜完全复位,炎症均得到控制.除1眼术后视力仍为光感,35眼(97.22％)视力得到不同程度提高.数指6眼,0.01～0.04者l眼,0.05～0.1者11眼,0.12～0.25者7眼,0.3～0.6者7眼,0.7～1.0者3眼.1眼术后持续低眼压,1例2眼取出硅油后视网膜脱离复发,经再次硅油填充而愈.结论 急性视网膜坏死是严重的致盲性眼病,视网膜脱离是其常见的并发症之一.早期诊断和及时足量的阿昔洛韦和皮质类固醇联合光凝,玻璃体视网膜手术均为治疗急性视网膜坏死综合征,保护视功能的有效方法.
目的 探討急性視網膜壞死綜閤徵臨床治療方法.方法 對急性視網膜壞死綜閤徵30例36眼分彆進行抗病毒藥物聯閤激光治療,或進行玻璃體視網膜手術聯閤藥物治療.對于已併髮視網膜脫離17眼和藥物聯閤激光治療病情不能控製的6眼,行玻璃體視網膜手術,觀察視力和視網膜情況.結果 36眼視網膜完全複位,炎癥均得到控製.除1眼術後視力仍為光感,35眼(97.22％)視力得到不同程度提高.數指6眼,0.01～0.04者l眼,0.05～0.1者11眼,0.12～0.25者7眼,0.3～0.6者7眼,0.7～1.0者3眼.1眼術後持續低眼壓,1例2眼取齣硅油後視網膜脫離複髮,經再次硅油填充而愈.結論 急性視網膜壞死是嚴重的緻盲性眼病,視網膜脫離是其常見的併髮癥之一.早期診斷和及時足量的阿昔洛韋和皮質類固醇聯閤光凝,玻璃體視網膜手術均為治療急性視網膜壞死綜閤徵,保護視功能的有效方法.
목적 탐토급성시망막배사종합정림상치료방법.방법 대급성시망막배사종합정30례36안분별진행항병독약물연합격광치료,혹진행파리체시망막수술연합약물치료.대우이병발시망막탈리17안화약물연합격광치료병정불능공제적6안,행파리체시망막수술,관찰시력화시망막정황.결과 36안시망막완전복위,염증균득도공제.제1안술후시력잉위광감,35안(97.22％)시력득도불동정도제고.수지6안,0.01～0.04자l안,0.05～0.1자11안,0.12～0.25자7안,0.3～0.6자7안,0.7～1.0자3안.1안술후지속저안압,1례2안취출규유후시망막탈리복발,경재차규유전충이유.결론 급성시망막배사시엄중적치맹성안병,시망막탈리시기상견적병발증지일.조기진단화급시족량적아석락위화피질류고순연합광응,파리체시망막수술균위치료급성시망막배사종합정,보호시공능적유효방법.
Objective To study the clinical therapeutic methods for acute retinal necrosis(ARN)syndrome.Methods Thirty-six eyes of 30 cases diagnosed as acute retinal necrosis syndromes were treated with antivirus medication and fundus laser or treated with vitreous-retinal surgery and antivirus medication.seventeen eyes of retinal detachment and six eyes could not be controled by medication and laser,were treated with surgery.Post-treatment vision and the retinal reposition were observed.Results The retina of 36eyes were successfully reattached,and the vision improved by different degree in 35 eyes except 1 eye with light perception.Visual acuity recovered obviously,including counting fingers in 6,0.01 ～ 0.04 in 1,0.05～ 0.1 in 11,0.12 ～ 0.25 in 7,0.3 ～ 0.6 in 7,0.7 ～ 1.0 in 3.Intraocular hypotension occurred continuing in 1 eye.Two eye of 1 case suffered from re-detachment after silicone oil removed,silicone oil tamponade once again.Conclusion Acute retinal necrosis syndrome is a severe syndrome leading to blindness.Retinal detachment is the most complication.Diagnose early and treated in time with effective medicine including acyclovir and corticosteroids combined with laser photocoagulation.Vitreous-retinal surgery is effective method to maintain visual functions of the Acute retinal necrosis syndrome.
