田非儿 王玉清

    【摘要】 急性视网膜坏死综合征(acute retinal necrosis syndrome，ARNS)是一种主要由疱疹病毒感染引起的以重度全葡萄膜炎、视网膜坏死灶、视网膜动脉为主的视网膜血管炎、玻璃体炎、脉络膜炎和后期视网膜裂孔及脱离为主要临床表现的一组眼病综合征。现阶段ARNS的误诊率仍然较高，早期临床表现缺乏特异性，导致ARNS患者治疗棘手，致盲率高。ARNS一经确诊，应立即行足量的抗病毒药物联合糖皮质激素对症治疗，预防性行视网膜激光光凝术，必要时行玻璃体切割术，尽可能留住患者生活视力。本文结合相关文献，对ARNS的早期诊断及相关治疗进展进行综述。

    【关键词】 急性视网膜坏死综合征 早期诊断 治疗进展

    Early Diagnosis and Treatment Progress of Acute Retinal Necrosis Syndrome/TIAN Feier， WANG Yuqing. //Medical Innovation of China， 2024， 21(08)： -182

    [Abstract] Acute retinal necrosis syndrome (ARNS) is a group of ophthalmic syndromes mainly caused by herpesvirus infection， with the main clinical manifestations of severe panuveitis， retinal necrosis， retinal vasculitis dominated by retinal artery， vitreous inflammation， choroiditis， and retinal hole and detachment at the late stage. At present， the misdiagnosis rate of ARNS is still high， and the early clinical manifestations lack specificity， which leads to the difficult treatment of ARNS patients and the high rate of blindness. Once ARNS is diagnosed， adequate antiviral drug combined with glucocorticoid symptomatic treatment should be performed immediately ......