急性视网膜坏死综合征的诊断及治疗进展

Diagnosis and Treatment Progress of Acute Retinal Necrosis Syndrome

摘要: 急性视网膜坏死综合征(ARN)是一种由病毒感染所致的严重致盲性眼病，眼前节至后节均可受累。该病起病急、发展迅速、预后差。早期临床表现特异性低因而误诊率高，导致治疗不及时，最终致盲率高。实验室检查对该疾病早期诊断具有重要意义，一经确诊应立即给予足量抗病毒药物治疗，同时可联合糖皮质激素对症治疗，预防性视网膜激光光凝及玻璃体切割的应用尚存在争议。

Abstract: Acute retinal necrosis syndrome (ARN) is a severe blind eye disease caused by virus infection, and it can affect the anterior segment to the posterior segment. The onset of the disease is urgent and develops rapidly. The early clinical manifestations lack specificity, so the misdiagnosis rate is still high, resulting in inadequate treatment, and eventually the blindness rate is high. The laboratory examination is of great significance for the early diagnosis of the disease. Once diagnosis is confirmed, a sufficient amount of antiviral drugs should be given immediately. In the meantime, it can be treated with glucocorticoids. The application of preventive retinal laser l and vitrectomy is still controversial.