DIAGNOSIS AND MANAGEMENT OF THE ACUTE RETINAL NECROSIS (ARN) SYNDROME

被引:150
作者
DUKER, JS [1 ]
BLUMENKRANZ, MS [1 ]
机构
[1] WILLIAM BEAUMONT HOSP,ROYAL OAK,MI 48072
关键词
ACUTE RETINAL NECROSIS; ARN; BARN; BILATERAL ACUTE RETINAL NECROSIS; CYTOMEGALOVIRUS RETINITIS; HERPES SIMPLEX VIRUS; RETINAL DETACHMENT; VARICELLA ZOSTER VIRUS; UVEITIS; VITRITIS;
D O I
10.1016/0039-6257(91)90183-G
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
The acute retinal necrosis (ARN) syndrome represents a specific pattern of clinical presentation for certain herpes virus infections in the posterior segment of the eye. The classically described triad of the ARN syndrome consists of (1) an arteritis and phlebitis of the retinal and choroidal vasculature, (2) a confluent, necrotizing retinitis that preferentially affects the peripheral retina, and (3) a moderate to severe vitritis. Anterior segment inflammation, optic neuritis, and late retinal detachment are also common features of this disorder. Definitive evidence now implicates at least two members of the herpes virus family; varicella zoster virus and herpes simplex virus as causative agents. This paper summarizes the clinical presentation, as well as the currently recommended treatment regimen for the ARN syndrome, highlighting recent advances that have resulted in a significant improvement in the visual prognosis for affected patients.
引用
收藏
页码:327 / 343
页数:17
相关论文
共 86 条
  • [1] ANAND R, 1989, PROLIFERATIVE VITREO
  • [2] PLATELET-FUNCTION IN BILATERAL ACUTE RETINAL NECROSIS
    ANDO, F
    KATO, M
    GOTO, S
    KOBAYASHI, K
    ICHIKAWA, H
    KAMIYA, T
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1983, 96 (01) : 27 - 32
  • [3] BANDO K, 1979, JPN J CLIN OPHTHAL, V33, P1515
  • [4] BLOOM JN, 1977, ARCH OPHTHALMOL-CHIC, V95, P1798
  • [5] MULTIFOCAL CHOROIDITIS UVEITIS OCCURRING AFTER HERPES-ZOSTER OPHTHALMICUS
    BLOOM, SM
    SNADYMCCOY, L
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1989, 108 (06) : 733 - 735
  • [6] VISUAL RESULTS AND COMPLICATIONS AFTER RETINAL REATTACHMENT IN THE ACUTE RETINAL NECROSIS SYNDROME - THE INFLUENCE OF OPERATIVE TECHNIQUE
    BLUMENKRANZ, M
    CLARKSON, J
    CULBERTSON, WW
    FLYNN, HW
    LEWIS, ML
    YOUNG, GM
    [J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 1989, 9 (03): : 170 - 174
  • [7] VITRECTOMY FOR RETINAL-DETACHMENT ASSOCIATED WITH ACUTE RETINAL NECROSIS
    BLUMENKRANZ, M
    CLARKSON, J
    CULBERTSON, WW
    FLYNN, HW
    LEWIS, ML
    YOUNG, GAM
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1988, 106 (04) : 426 - 429
  • [8] BLUMENKRANZ MS, 1986, OPHTHALMOLOGY, V93, P296
  • [9] BLUMENKRANZ MS, 1988, OPHTHALMOLOGY, V95, P1663
  • [10] RETINAL ARTERITIS COMPLICATING HERPES ZOSTER OPHTHALMICUS
    BROWN, RM
    MENDIS, U
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 1973, 57 (05) : 344 - 346