Abstract
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 plana 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 μL) 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.
Original language | English (US) |
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Pages (from-to) | 274-280 |
Number of pages | 7 |
Journal | Retina |
Volume | 19 |
Issue number | 4 |
State | Published - 1999 |
Keywords
- Cytomegalovirus retinitis
- Highly active antiretroviral therapy
- Retinal detachment
- Silicone oil
ASJC Scopus subject areas
- Ophthalmology
- Sensory Systems