JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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Acute retinal necrosis syndrome in 42 eyes

DONG Wei-hong1, ZHOU Fang2, BI Hong-sheng1, WANG Xing-rong1,
DU Xiu-juan1, MA Xian-zhen1, YU Chao1   

  1. 1. Eye Center, Shandong University of Traditional Chinese Medicine,
    Shandong Shierming Eye Hospital, Jinan 250002, China;
    2. Department of Ophthalmology, Qilu Hospital of Shandong University, Jinan 250012, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2008-10-16 Published:2008-10-16
  • Contact: ZHOU Fang

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Abstract: To explore the therapeutic methods for acute retinal necrosis syndrome and to evaluate the therapeutic effects of anti-virus drugs, photocoagulation and vitreous-retinal surgery. MethodsThirty-six cases (42 eyes) of acute retinal necrosis syndromes were studied. All were treated with acyclovir （ACV） and corticoid hormones. Those with severe vitreous inflammation or retinal detachment were treated with drugs, and photocoagulation in combination with surgery. Followed up from 6 to 24 months, the retinas and eyesight were observed. ResultsThe retinas of 40 eyes were all successfully reattached, and the visual acuity of 37 eyes was improved, in which the acuity of 23 eyes was better than 0.1 and the best acuity was 0.8. ConclusionRetinal detachment is the most severe complication of acute retinal necrosis syndrome, and it can lead to visual loss and often is easily misdiagnosed. If it is diagnosed early and treated in time with proper methods such as effective drugs including acyclovir and corticoid hormones, photocoagulation and vitreous-retinal surgery, good results can be produced.

Key words: Retinal detachment, Vitrectomy, Acute retinal necrosis syndrome

CLC Number: 

  • R774.1
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