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急性视网膜坏死的治疗,最初试用类固醇,但多数无效。有人认为本病伴有视网膜动脉周围炎,眼底荧光血管造影发现视网膜微动脉闭塞。作者遇到的病例伴有血小板凝集功能亢进,遂又采用抗血小板疗法,效果很好。此后,进一步证实本病为疱疹病毒感染,因而又由对症处理转向病因治疗。(一)抗病毒疗法:很多作者报告,本病对眼内液中疱疹病毒特别是带状疱疹病毒和单纯疱疹病毒的抗体效价升高。也有人认为本病系巨细胞病毒感染。作为抗病毒剂,有使用阿糖腺苷者,但多数使用无环鸟苷。无环鸟苷对单纯疱疹Ⅰ型、Ⅱ型和水痘-带状疱疹病毒具有很强的抗病毒作用。其作用机理系通过抑制病毒DNA
The treatment of acute retinal necrosis, the initial trial of steroids, but most of the ineffective. Some people think that this disease accompanied by retinal artery inflammation, fundus fluorescein angiography found retinal artery occlusion. The case encountered by the author with platelet aggregation hyperfunction, then anti-platelet therapy, the effect is very good. Since then, further confirmed that the disease is herpes virus infection, which in turn by symptomatic treatment turned to the cause of treatment. (A) antiviral therapy: Many authors report that the disease on the eye liquid herpes zoster virus, especially herpes zoster virus and herpes simplex virus antibody titers. Some people think that this disease is a cytomegalovirus infection. As antiviral agents are those who use arabinoside, but the majority of acyclovir. Acyclovir has a strong antiviral effect on herpes simplex type I, type II and varicella-zoster virus. Its mechanism of action by inhibiting viral DNA