Surgical repair of rhegmatogenous retinal detachment in immunosuppressed patients with cytomegalovirus retinitis.
Publication/Presentation Date
3-1-1992
Abstract
The authors performed retinal reattachment surgery in 29 eyes of 24 patients with acquired immune deficiency syndrome virus with retinal detachment associated with cytomegalovirus (CMV) retinitis and documented the course of eight additional untreated eyes. Retinal detachment repair using vitrectomy, posterior hyaloid removal, and intraocular tamponade with silicone oil or SF-6 gas resulted in a total retinal reattachment rate of 76% and a macular attachment rate of 90% in one operation. The mean postoperative visual acuity (best corrected) was 20/60, but, in some patients, the visual acuity decreased because of progressive retinitis. Prophylactic laser photocoagulation of fellow eyes to surround CMV lesions did not appear to prevent retinal detachment. The mean postoperative survival was 37 weeks (range, 8 to 127 weeks). The surgical techniques used and pathophysiology of these retinal detachments are discussed.
Volume
99
Issue
3
First Page
466
Last Page
474
ISSN
0161-6420
Published In/Presented At
Freeman, W. R., Quiceno, J. I., Crapotta, J. A., Listhaus, A., Munguia, D., & Aguilar, M. F. (1992). Surgical repair of rhegmatogenous retinal detachment in immunosuppressed patients with cytomegalovirus retinitis. Ophthalmology, 99(3), 466–474. https://doi.org/10.1016/s0161-6420(92)31976-1
Disciplines
Medicine and Health Sciences
PubMedID
1314364
Department(s)
Department of Medicine
Document Type
Article