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。

·AIM:To report the treatment of macular oedema secondary to idiopathic retinitis,vasculitis,aneurysms,and neuroretinitis(IRVAN)with intravitreal triamcinolone.·METHODS:Case report.·RESULTS:A patient diagnosed with IRVAN with visual loss secondary to macular oedema.The macular oedema and her visual acuity was improved dramatically with the administration of intravitreal triamcinolone.·CONCLUSION:Previous reports recommend treatment of IRVAN with panretinal photocoagulation,vitrectomy,systemic and periocular steroids.Our case shows that intravitreal triamcinolone appears to be a safe and effective treatment for macular oedema and vasculitis secondary to IRVAN.·

R774.5