›› 2011, Vol. 31 ›› Issue (8): 1099-.doi: 10.3969/j.issn.1674-8115.2011.08.011

• Monographic report (Ophthalmology and Visual Sciences) • Previous Articles     Next Articles

Analysis of causes of misdiagnosis and treatment effects of acute retinal necrosis syndrome

YAN Yan, SHEN Xi, ZHANG Qiong, LI Na   

  1. Department of Ophthalmology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2011-08-28 Published:2011-08-29
  • Supported by:

    Shanghai Key Discipline Scientific Research Foundation, S30205；Shanghai Jiaotong University School of Medicine Foundation, 09XJ21071

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Abstract:

Objective To investigate the causes of misdiagnosis and treatment effects of acute retinal necrosis syndrome (ARN). Methods The causes of misdiagnosis and treatment effects of 7 patients (7 eyes) with ARN were retrospectively analysed. Results Three patients were misdiagnosed as iridocyclitis, 2 as panuveitis, 1 as Posner-Schlossman Syndrome and 1 as retinal hemorrhage. After the diagnosis was confirmed, antiviral medications and vitrectomy were administered to 4 patients, and antiviral medications and prophylactic laser were performed in the other 3 cases. During the follow up, visual acuity significantly improved in 6 patients. Ocular hypotony and decreased visual acuity took place in 2 patients after oil removal in vitrectomy. Conclusion The early diagnosis of ARN is of great significance, and best treatment opportunity may be missed due to misdiagnosis. As soon as the diagnosis is confirmed, the early management with sufficient medications and prophylactic laser, with vitrectomy if necessary, may preserve the residual visual acuity of patients with ARN.

Key words: acute retinal necrosis, misdiagnosis, treatment