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目的:报告玻璃体内注射曲安奈德对特发性视网膜炎、血管炎、动脉瘤及视神经视网膜炎(IRVAN)所致的黄斑水肿的治疗效果。方法:病例报告。结果:患者诊断为特发性视网膜炎、血管炎、动脉瘤及视神经视网膜炎导致的伴有视力丧失的继发性黄斑水肿。玻璃体内注射曲安奈德后黄斑水肿减轻,视力显著改善。结论:以前的报告建议采取全视网膜光凝,玻璃体切除术及全身和眼部类固醇治疗。对于继发于IRVAN的黄斑水肿和血管炎,玻璃体内注射曲安奈德是一种安全有效的治疗方法。
PURPOSE: To report the therapeutic effect of intravitreal triamcinolone acetonide on idiopathic retinitis, vasculitis, aneurysm and macular edema caused by optic neuritis retinalitis (IRVAN). Methods: Case report. Results: Patients diagnosed with idiopathic retinitis, vasculitis, aneurysm and optic neuritis retinitis secondary macular edema associated with loss of vision. Intravitreal injection of triamcinolone acetonide edema relief, visual acuity improved significantly. CONCLUSIONS: Previous reports recommended panretinal photocoagulation, vitrectomy, and systemic and ocular steroid therapy. Intravitreal triamcinolone acetonide is a safe and effective treatment for macular edema and vasculitis secondary to IRVAN.