Surgical repair of cytomegalovirus-related retinal detachment without silicone oil in patients with AIDS

被引:13
作者
Canzano, JC
Morse, LS
Wendel, RT
机构
[1] Retinal Consultants, Sacramento, CA 95819 USA
[2] Univ Calif Davis, Dept Ophthalmol, Davis, CA 95616 USA
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 1999年 / 19卷 / 04期
关键词
cytomegalovirus retinitis; retinal detachment; silicone oil; highly active antiretroviral therapy;
D O I
10.1097/00006982-199907000-00001
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To analyze Visual and anatomic results following surgical repair of cytomegalovirus (CMV)-related retinal detachment (RD) without silicone oil permanent tamponade. Methods: We analyzed five consecutive patients (six eyes) with acquired immunodeficiency syndrome and CMV-related RD that were repaired with pars plans vitrectomy with peeling of the posterior hyaloid, laser photocoagulation, encircling scleral buckle, and intraocular gas tamponade. Results: Preoperative vision ranged from 20/40 to hand motion. Total retinal reattachment was achieved in five of six eyes (83%). Macular reattachment was achieved in all eyes. Mean postoperative visual acuity was 20/40 (range 20/30-20/60). Mean postoperative follow-up was 12 months (range 7-19 months). All patients in this series presented with low preoperative CD4(+) T-lymphocyte counts (mean, 24 cells per muL) and received highly active antiretroviral therapy. One retina (Patient 1) redetached 7 months after initial repair and was successfully reattached without using silicone oil. Postoperatively, visual acuity remains 20/30, and total retinal reattachment has been maintained for 16 months. Conclusion: Good anatomic and visual success can be achieved and maintained in CMV-related RD without the use of silicone oil.
引用
收藏
页码:274 / 280
页数:7
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