| Vitreous Surgery for Retinal Detachment associated with Acute Retinal Necrosis Syndrome. |
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Ju Hee Park, Se Woong Kang, Jae Sun Lee, Woog Ki Min |
1Department of Ophthalmology, College of Medicine, Chungnam National University, Taejon, Korea.
2Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, Korea.
3Department of Ophthalmology, Samsung Medical Center, Seoul, Korea. |
| 급성망막괴사증의 수술적 치료 |
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박주희(Ju Hee Park),강세웅(Se Woong Kang),이재선(Jae Sun Lee),민욱기(Woog Ki Min) |
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| Abstract |
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The acute retinal necrosis syndrome(ARN) is characterized by acute peripheral necrotizing retinitis, occlusive arteritis, and panuveitis. ARN is often complicated by late retinal detachment and a poor visual outcome. We describe herein a series of 4 consecutive patients(5 eyes) with ARN, complicated by retinal detachment. A patient with bilateral ARN(case 1) underwent prophylactic vitrectomy, 360 degrees scleral buckling, and intravitreal injection of acyclovir on the right eye while the retina was attached. Subsequently, the retina became detached. The retina was successfully reattached by performing fluid-gas exchange and laser photocoagulation. Argon laser photocoagulation was performed as a prophylaxis to prevent retinal detachment in two eyes. However, the two retinas subsequently detached. The two eyes were treated with vitrectomy, 360 degrees scleral buckling, fluid-gas exchange, and endolaser photocoagulation. Remaining two eyes required vitrectomy, silicone oil injection, and endolaser photocoagulation with(case 3) or without(case 4) 360 degrees scleral buckling. The retinas remined attached in all five eyes with no additional treatment. Four eyes achieved a visual acutiy of 0.1 or better. One had a final visual acuity of FC/40cm because of macular pucker and optic nerve atrophy. |
| Key Words:
Acute retinal necrosis syndrome(ARN);Retinal detachment |
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