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) |
|---|---|
| Pages (from-to) | 274-280 |
| Number of pages | 7 |
| Journal | Retina |
| Volume | 19 |
| Issue number | 4 |
| State | Published - 1999 |
Fingerprint
Keywords
- Cytomegalovirus retinitis
- Highly active antiretroviral therapy
- Retinal detachment
- Silicone oil
ASJC Scopus subject areas
- Ophthalmology
- Sensory Systems
Cite this
Surgical repair of cytomegalovirus-related retinal detachment without silicone oil in patients with AIDS. / Canzano, John C.; Morse, Lawrence S; Wendel, Robert T.
In: Retina, Vol. 19, No. 4, 1999, p. 274-280.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical repair of cytomegalovirus-related retinal detachment without silicone oil in patients with AIDS
AU - Canzano, John C.
AU - Morse, Lawrence S
AU - Wendel, Robert T.
PY - 1999
Y1 - 1999
N2 - 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.
AB - 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.
KW - Cytomegalovirus retinitis
KW - Highly active antiretroviral therapy
KW - Retinal detachment
KW - Silicone oil
UR - http://www.scopus.com/inward/record.url?scp=0033508535&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033508535&partnerID=8YFLogxK
M3 - Article
C2 - 10458290
AN - SCOPUS:0033508535
VL - 19
SP - 274
EP - 280
JO - Retina
JF - Retina
SN - 0275-004X
IS - 4
ER -