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目的 探讨不同时期急性视网膜坏死的有效治疗方法。方法 应用无环鸟苷、中药、激光和手术治疗急性期急性视网膜坏死 1 0只眼和晚期者 2 5只眼 ,对其临床特点和疗效进行了分析。结果 观察病例中治疗后有 2 8只眼 (80 % )的视力提高 ;急性期患者治疗后矫正视力达0 4～ 1 2 ,晚期患眼中 2 8%治疗后矫正视力达 0 1～ 0 3 ,72 %矫正视力小于 0 1。晚期病例手术后视网膜复位率为 88%。结论 及时、足量的抗病毒药物联合中药和激光以及预防性手术对急性期急性视网膜坏死的治疗是非常重要的。现代玻璃体视网膜手术是挽救晚期患者视功能的有效方法之一。
Objective To investigate the effective treatment of acute retinal necrosis at different stages. Methods Acyclic guanosine, Chinese traditional medicine, laser and surgery were used to treat the acute stage of retinal necrosis and 25 cases of late stage acute retinal necrosis. The clinical features and therapeutic effects were analyzed. Results The visual acuity was improved in 28 eyes (80%) after treatment. The corrected visual acuity in the acute stage was 0 4 ~ 12 after treatment, and the corrected visual acuity was 0 1 ~ 0 3 in 28% 72% corrected visual acuity less than 0 1. The retinal reattachment rate was 88% in the advanced cases. Conclusions A timely and sufficient amount of antiviral drugs combined with Chinese medicine and laser as well as prophylactic surgery is very important for the treatment of acute retinal necrosis. Modern vitreoretinal surgery is one of the effective ways to save visual function in patients with advanced stage.