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目的:报道1例艾滋病患者特殊的进行性外层视网膜坏死(PORN),同时合并视网膜中央动脉及静脉阻塞。方法:病例报告。结果:患者表现为进行性外层视网膜坏死,视神经亦受累,合并视网膜中央动静脉阻塞,与带状疱疹性视网膜病变的最初表现一样。积极的治疗包括玻璃体腔和特异性系统抗带状疱疹病毒治疗,以及强化的抗逆转录病毒治疗(HAART)。视网膜坏死静止,对侧眼未受累,而患眼的视力极差。结论:首次报道了1例并发视网膜中央动静脉阻塞的特殊PORN,积极的局部联合系统治疗使得局部病情控制,并预防了对侧眼发病。
OBJECTIVE: To report a case of special progressive outer retinal necrosis (PORN) in AIDS patients with central retinal artery and vein occlusion. Methods: Case report. RESULTS: The patient presented with progressive outer retinal necrosis and optic nerve involvement with central retinal artery and vein occlusion, as was the initial manifestation of zosteriform retinopathy. Active treatment includes vitreous cavity and specific systemic anti-herpes zoster virus therapy, and intensive antiretroviral therapy (HAART). Retinal necrosis is still, the contralateral eye is not involved, and poor eyesight vision. Conclusion: The first report of a case of central retinal artery and vein occlusion of the special PORN, a positive combination of local treatment system makes the local disease control and prevention of contralateral eye disease.