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

John C. Canzano, Lawrence S Morse, Robert T. Wendel

Research output: Contribution to journalArticle

21 Scopus citations

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 languageEnglish (US)
Pages (from-to)274-280
Number of pages7
JournalRetina
Volume19
Issue number4
StatePublished - 1999

Keywords

  • Cytomegalovirus retinitis
  • Highly active antiretroviral therapy
  • Retinal detachment
  • Silicone oil

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

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