标题：急性视网膜坏死综合征的治疗

      作者：唐 芬，郭小健
    (中南大学湘雅二医院眼科，湖南 长沙 410011)

      卷次： 2013年24卷11期

      【摘要】 急性视网膜坏死综合征(Acute retinal necrosis syndrome，ARNS)是一种病毒感染(主要为水痘-带
状疱疹病毒和单纯疱疹病毒感染，少数为EB病毒、巨细胞病毒)引起的严重临床综合征，其特征是重度全葡萄膜
炎伴有视网膜动脉炎，周边大量渗出，视网膜坏死，玻璃体高度浑浊，后期出现裂孔及视网膜脱离，严重损害视功
能。发病率低，但该疾病极易误诊漏诊，病程发展快，若治疗不及时，会引起严重的不可逆的视网膜组织损害。
因此争取早期正确诊断与治疗的意义重大，现就对ARNS的治疗的报道做一综述。

      【关键词】 急性视网膜坏死；药物治疗；玻璃体切除；激光治疗；中西医结合治疗

      【中图分类号】 R774.1 【文献标识码】 A 【文章编号】 1003—6350（2013）11—1660—05


Treatment of acute retinal necrosis syndrome.
TANG Fen, GUO Xiao-jian. Department of Ophthalmology, the Second
Hospital of the Central South University, Changsha 410011, Hunan, CHINA
【Abstract】 Acute retinal necrosis syndrome is a serious syndrome caused by virus infection (mainly are vari-
cella zoster virus and Herpes simplex virus, few are Epstein-Barr virus and cytomegalovirus), characterized by severe
panuveitis accompanied with retinal arteritis, much exudation in peripheral retina, necrotizing retinitis, highly vitreous
opacity, post-retinal detachment, which damage the visual function badly. In spite of the low incidence, the disease is
difficult to be diagnosed correctly and it develops very quickly. If the patients would not be cured timely, it is likely
leading to blindness. So early correct diagnosis and treatment is of great significance, and this article reviews the treat-
ment of ARNS.

      【Key words】 Acute retinal necrosis; Drug treatment; Vitrectomy; Laser; Combined treatment of traditional Chi-
nese medicine and Western medicine