Abstract

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. Key words: Acute retinal necrosis syndrome; Retinal detachment ; Medicine ; Laser photocoagulation; Vitrectomy

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