[Acute retinal necrosis: a report of 19 cases].
OBJECTIVE
To improve the diagnose and treatment capacity on acute retinal necrosis (ARN).


METHODS
Retrospectively analyse the manifestation, examination, diagnose, treatment and prognosis of the 19 cases with ARN in our Ophthalmic Center from January, 1996 to November, 2003.


RESULTS
Nineteen cases had inflammation in anterior segment, vitritis, necrotizing retinitis and retinal vasculitis, except one patient. After treatment, visual acuity had been improved in 11 eyes (45.8%). Final visual acuity were lower than 0.05 in 11 eyes. Signs were controlled in 21 eyes(87.5%).


CONCLUSIONS
The diagnose of ARN should be mainly based on clinical manifestation. Early and sufficient treatment with antiviral agents, corticosteroid and prophylactic laser photocoagulation, sometimes vitrectomy are the key point to control the disease.
Guo
Mengxiang
M
Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.
Yi
Changxian
C
D000212:Acyclovir / Q000627:therapeutic use*; D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D015882:Retinal Necrosis Syndrome, Acute / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D014821:Vitrectomy
D000998:Antiviral Agents; D005938:Glucocorticoids; D000212:Acyclovir