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 language||English (US)|
|Journal||Investigative Ophthalmology and Visual Science|
|State||Published - Feb 15 1996|
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