Retinal detachments in patients with cytomegalovirus retinitis.
Publication/Presentation Date
6-1-1991
Abstract
Retinal detachments are a recognized complication of cytomegalovirus retinitis. In a series of 145 patients with cytomegalovirus retinitis, 38 (26%) developed retinal detachments. The cumulative probability of a retinal detachment 1 year after the diagnosis of cytomegalovirus retinitis was 50%. Detachments were associated with increased size of the cytomegalovirus lesion and with lesions extending anteriorly up to the ora serrata. Treatment with an anticytomegalovirus drug appeared to delay the time to detachment. Median survival time after the diagnosis of retinal detachment was 9 months. In our study, vitrectomy with silicone oil as the initial surgical procedure was the most effective approach. Successful anatomic reattachment of the retina was achieved in 70% of patients undergoing this procedure. Despite the success of surgery, the visual outcome was disappointing, with only 20% of eyes achieving a final visual acuity of 5/200 or better.
Volume
109
Issue
6
First Page
794
Last Page
799
ISSN
0003-9950
Published In/Presented At
Jabs, D. A., Enger, C., Haller, J., & de Bustros, S. (1991). Retinal detachments in patients with cytomegalovirus retinitis. Archives of ophthalmology (Chicago, Ill. : 1960), 109(6), 794–799. https://doi.org/10.1001/archopht.1991.01080060058024
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
1645952
Department(s)
Administration and Leadership
Document Type
Article