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报告5例急性视网膜坏死(acute retinal necrosis ARN)伴视网膜脱离的玻璃体手术治疗结果。单眼2例,双眼3例。发生视网膜破孔及视网膜脱离者5眼(行玻璃体手术治疗),仅有视网膜破孔无脱离者3眼(氩激光治疗)。手术采用闭合式玻璃体切割、环扎、气液交换、眼内激光或冷凝等,全身治疗包括皮质激素、阿斯匹林和无环鸟苷等。手术后视网膜复位4眼,视力≥0.05者3眼。随访6至18个月,其中一眼视网膜脱离复发,另外3眼视网膜在位,最好视力0.2。对此类视网膜脱离玻璃体手术治疗时机,手术技巧及预防性手术问题进行了探讨。
Report of 5 cases of acute retinal necrosis (ARN) with retinal detachment vitreous surgery results. 2 cases of monocular, 3 cases of binocular. 5 cases of retinal holes and retinal detachment (line vitreous surgery), only three retinal holes without detachment (argon laser treatment). Surgical use of closed vitrectomy, cerclage, gas-liquid exchange, intraocular laser or condensation, systemic treatment including corticosteroids, aspirin and acyclovir and so on. Retinal reattachment after surgery 4 eyes, visual acuity ≥ 0.05 in 3 eyes. Followed up for 6 to 18 months, one of the retinal detachment recurrence, the other three retinas in place, the best visual acuity of 0.2. The timing of retinal detachment vitreous surgery, surgical techniques and preventive surgery were discussed.