Visual outcome following repair of retinal detachment with silicone oil in patients with cytomegalovirus retinitis

J. Montgomery, Susanna Soon Chun Park

Research output: Contribution to journalArticle

Abstract

Purpose. To compare the visual outcome following repair of retinal detachment (RD) with silicone oil among eyes with cytomegalovirus (CMV) retinitis with macula-on versus macula-off retinal detachment (RD) preoperatively. Methods. We retrospectively reviewed 20 cases in our group and 56 cases reported in the literature (Garcia et al., Ophthalmology 102: 236, 1995) with a postoperative follow-up of ≥ 2 mos. The preoperative and best postoperative visual acuity (VA) among patients with macula-on versus macula-off RD were compared. Results. Among 76 cases reviewed (43% macula-on), VA declined ≥ 2 lines after surgery in 64% of eyes with macula-on RD and in 12% of eyes with macula-off RD. The range of best postoperative VA was 20/20 to light perception in the macula-on group and 20/30 to hand motions in the macula-off group. When the VA was converted to decimal form and analyzed, the mean postoperative VA was 20/50 in the macula-on group and 20/70 in the macula-off group. This difference was statistically significant (p < 0.05). Conclusions. Although most eyes with macula-on RD due to CMV retinitis experience some loss of vision following surgery with silicone oil, the mean postoperative VA is better in eyes that have macula-on RD when compared to eyes with macula-off RD preoperatively.

Original languageEnglish (US)
JournalInvestigative Ophthalmology and Visual Science
Volume37
Issue number3
StatePublished - Feb 15 1996
Externally publishedYes

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Cytomegalovirus Retinitis
Silicone Oils
Retinal Detachment
Visual Acuity
Ophthalmology
Hand
Light

ASJC Scopus subject areas

  • Ophthalmology

Cite this

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title = "Visual outcome following repair of retinal detachment with silicone oil in patients with cytomegalovirus retinitis",
abstract = "Purpose. To compare the visual outcome following repair of retinal detachment (RD) with silicone oil among eyes with cytomegalovirus (CMV) retinitis with macula-on versus macula-off retinal detachment (RD) preoperatively. Methods. We retrospectively reviewed 20 cases in our group and 56 cases reported in the literature (Garcia et al., Ophthalmology 102: 236, 1995) with a postoperative follow-up of ≥ 2 mos. The preoperative and best postoperative visual acuity (VA) among patients with macula-on versus macula-off RD were compared. Results. Among 76 cases reviewed (43{\%} macula-on), VA declined ≥ 2 lines after surgery in 64{\%} of eyes with macula-on RD and in 12{\%} of eyes with macula-off RD. The range of best postoperative VA was 20/20 to light perception in the macula-on group and 20/30 to hand motions in the macula-off group. When the VA was converted to decimal form and analyzed, the mean postoperative VA was 20/50 in the macula-on group and 20/70 in the macula-off group. This difference was statistically significant (p < 0.05). Conclusions. Although most eyes with macula-on RD due to CMV retinitis experience some loss of vision following surgery with silicone oil, the mean postoperative VA is better in eyes that have macula-on RD when compared to eyes with macula-off RD preoperatively.",
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N2 - Purpose. To compare the visual outcome following repair of retinal detachment (RD) with silicone oil among eyes with cytomegalovirus (CMV) retinitis with macula-on versus macula-off retinal detachment (RD) preoperatively. Methods. We retrospectively reviewed 20 cases in our group and 56 cases reported in the literature (Garcia et al., Ophthalmology 102: 236, 1995) with a postoperative follow-up of ≥ 2 mos. The preoperative and best postoperative visual acuity (VA) among patients with macula-on versus macula-off RD were compared. Results. Among 76 cases reviewed (43% macula-on), VA declined ≥ 2 lines after surgery in 64% of eyes with macula-on RD and in 12% of eyes with macula-off RD. The range of best postoperative VA was 20/20 to light perception in the macula-on group and 20/30 to hand motions in the macula-off group. When the VA was converted to decimal form and analyzed, the mean postoperative VA was 20/50 in the macula-on group and 20/70 in the macula-off group. This difference was statistically significant (p < 0.05). Conclusions. Although most eyes with macula-on RD due to CMV retinitis experience some loss of vision following surgery with silicone oil, the mean postoperative VA is better in eyes that have macula-on RD when compared to eyes with macula-off RD preoperatively.

AB - Purpose. To compare the visual outcome following repair of retinal detachment (RD) with silicone oil among eyes with cytomegalovirus (CMV) retinitis with macula-on versus macula-off retinal detachment (RD) preoperatively. Methods. We retrospectively reviewed 20 cases in our group and 56 cases reported in the literature (Garcia et al., Ophthalmology 102: 236, 1995) with a postoperative follow-up of ≥ 2 mos. The preoperative and best postoperative visual acuity (VA) among patients with macula-on versus macula-off RD were compared. Results. Among 76 cases reviewed (43% macula-on), VA declined ≥ 2 lines after surgery in 64% of eyes with macula-on RD and in 12% of eyes with macula-off RD. The range of best postoperative VA was 20/20 to light perception in the macula-on group and 20/30 to hand motions in the macula-off group. When the VA was converted to decimal form and analyzed, the mean postoperative VA was 20/50 in the macula-on group and 20/70 in the macula-off group. This difference was statistically significant (p < 0.05). Conclusions. Although most eyes with macula-on RD due to CMV retinitis experience some loss of vision following surgery with silicone oil, the mean postoperative VA is better in eyes that have macula-on RD when compared to eyes with macula-off RD preoperatively.

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