Karsenti G, Zaluski S, Boudet C
J Fr Ophtalmol. 1985;8(2):133-7.
Two cases of acute retinal necrosis are reported, the etiology of this affection being priorly defined. The lesions were bilateral in the first case, and retinal detachment developed: the first eye was inoperable, and surgery was unsuccessful for the second eye in spite of a salvage vitrectomy after a classical operation. We therefore treated the second case with immediate and massive corticotherapy, and, mainly, preventive total vitrectomy as soon as the first signs of vitreous retraction appeared and before the occurrence of retinal detachment. This preventive vitrectomy, not previously described to our knowledge, seems to provide favorable results.
报告了两例急性视网膜坏死病例,此前已明确了这种病症的病因。第一例病变为双侧性,并发视网膜脱离:第一眼无法手术,第二眼在经典手术后进行了挽救性玻璃体切除,但手术仍未成功。因此,我们对第二例患者立即进行了大剂量皮质激素治疗,主要是在玻璃体出现收缩的最初迹象且视网膜脱离发生之前,尽早进行预防性全玻璃体切除术。据我们所知,这种预防性玻璃体切除术此前尚未有过描述,似乎能产生良好的效果。