Kopplin Laura J, Thomas Akshay S, Cramer Stephanie, Kim Yu Hyon, Yeh Steven, Lauer Andreas K, Flaxel Christina J
Ophthalmic Surg Lasers Imaging Retina. 2016 Jul 1;47(7):660-4. doi: 10.3928/23258160-20160707-08.
To determine the long-term visual and surgical outcomes of patients with acute retinal necrosis (ARN) associated retinal detachment (RD).
The authors conducted a single-center, retrospective chart review from 2001 to 2012 of 32 eyes from 27 patients diagnosed with ARN. The authors assessed the rates and risk factors for recurrent RD in eyes having undergone primary RD repair for ARN-related RD.
Fifteen eyes (46.9%) developed RD and 13 underwent surgical repair. Recurrent RD developed in six eyes (46.2%), occurring 35 days to 10 months after primary retinal surgery. There was no difference in the rate of recurrent RD between eyes treated with or without intravitreal foscarnet (P = .48) or initial scleral buckle (P = .31). Six eyes (46.2%) developed severe vision loss, with a final Snellen visual acuity of less than 20/200.
Recurrent RD after primary repair is a frequent complication of ARN. Overall, visual prognosis is guarded despite surgical intervention. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:660-664.].
确定急性视网膜坏死（ARN）相关视网膜脱离（RD）患者的长期视力及手术预后。
作者对2001年至2012年期间27例诊断为ARN患者的32只眼进行了单中心回顾性病历审查。作者评估了因ARN相关RD接受原发性RD修复的眼中复发性RD的发生率及危险因素。
15只眼（46.9%）发生RD，其中13只眼接受了手术修复。6只眼（46.2%）出现复发性RD，发生在原发性视网膜手术后35天至10个月。接受或未接受玻璃体内膦甲酸治疗的眼之间（P = 0.48）以及初次巩膜扣带术的眼之间（P = 0.31）复发性RD的发生率无差异。6只眼（46.2%）出现严重视力丧失，最终Snellen视力低于20/200。
原发性修复后复发性RD是ARN的常见并发症。总体而言，尽管进行了手术干预，视力预后仍不容乐观。[《眼科手术、激光与影像学杂志》。2016；47：660 - 664。]
