Abstract
Background: Acute retinal necrosis (ARN) syndrome is an uncommon but severe ocular disease that typically affects otherwise healthy individuals. It is frequently complicated with retinal detachment and the visual prognosis in such patients is usually poor. Methods: We operated on four eyes in four patients from 1999 through 2001. Three ophthalmologists in our hospital did these operations, respectively. The surgical methods included pars plana vitrectomy, lensectomy, encircling scleral buckling combined with membrane dissection, air-fluid exchange, endolaser photocoagulation, and retinal tamponade with silicone oil or perfluoropropane gas. Results: Three patients received one operation and the other one needed a second operation to release the retinal traction. One patient needed a lensectomy at the time of vitrectomy. Macular attachment was achieved in all four eyes (100%). Vision improved in two patients but none achieved visual acuity better than 20/200. The complications were cataract in three patients, macular pucker in three, and silicone keratopathy in one. Conclusion: Our results suggest that modern vitrectomy techniques provide a very high retinal attachment rate in patients with retinal detachment following ARN syndrome.
Original language | English |
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Pages (from-to) | 835-842 |
Number of pages | 8 |
Journal | Chang Gung Medical Journal |
Volume | 26 |
Issue number | 11 |
Publication status | Published - Nov 2003 |
Externally published | Yes |
Keywords
- Acute retinal necrosis syndrome
- Retinitis
- Uveitis
- Vitrectomy
ASJC Scopus subject areas
- General Medicine