Results of Rhegmatogenous Retinal Detachment Repair in Cytomegalovirus Retinitis With and Without Scleral Buckling

Garcia, Roberto; Flores-Aguilar, Marisa; Qulceno, J I; Capparelli, EV; Munguia, David; Kuppermann, B. D.; Arévalo, Fernando; Freeman, William R.

doi:10.1097/00006982-199515040-00034

Cited by 4 publications

(6 citation statements)

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“…Reports have differed, however, regarding the visual results. Initial problems with early postoperative visual loss have improved with changes in technique 8. These have included the recognition that these patients are unusually susceptible to central retinal artery occlusion by increased intraocular pressure, so that the height of the infusion bottle during surgery and the pressures induced during and immediately after silicone oil injection are kept relatively low 3.…”

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confidence: 99%

Retinal detachment in AIDS: long term results after repair with silicone oil

Irvine

Lonn

Schwartz

et al. 1997

British Journal of Ophthalmology

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Aims-To study the long term results of vitrectomy and silicone oil injection in AIDS patients with retinal detachment due to viral retinitis. Methods-A consecutive series of 83 eyes in 75 AIDS patients who were treated with vitrectomy and silicone oil for retinal detachment due to viral retinitis was studied prospectively and followed until the last patient in the series had died. Results-Median postoperative survival was 6 months, but 20% of patients survived 12 months or more. Whereas best corrected visual acuity was 20/100 or better in over half the patients 1-2 months after operation, there was a distressing decrease in acuity by 6 months, owing to a variety of factors. Patients operated on before macular detachment did not have significantly better postoperative vision than those operated within a week after macular detachment. Almost all patients who had already lost vision in the fellow eye and many who had cytomegalovirus retinitis in the fellow eye with retention of good vision had their quality of life improved by the surgery in that the operated eye eventually became the better seeing eye. In no patient whose fellow eye was normal and free of retinitis, however, did the operated eye ever become the better eye. Conclusions-Although the majority of patients recovered macular vision in the first 1-2 months after operation, there was a gradual decline in acuity thereafter, sometimes without obvious cause. The results of this series suggest that it may be reasonable to postpone surgery until the macula detaches and that patients whose fellow eye is free of retinitis with normal vision are unlikely to have their quality of life improved significantly by the surgery.

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Retinal detachment in AIDS: long term results after repair with silicone oil

Irvine

Lonn

Schwartz

et al. 1997

British Journal of Ophthalmology

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“…Scleral buckling may be omitted in cytomegalovirus related detachments in which there is very minimal PVR, unlike in this case 4. Other studies considered use of vitrectomy and scleral buckle without silicone oil,5 highlighting the importance of prophylaxis for anterior PVR in these cases with use of a buckle.…”

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confidence: 89%

“…Vitrectomy, silicone oil tamponade and mid periphery laser4 are recommended treatment for viral related detachments due to the presence of multiple breaks.…”

Section: Discussionmentioning

confidence: 99%

Saved by the buckle: primary buckle vitrectomy for macular hole detachment due to rapid progression of premacular fibrosis in acute retinal necrosis

Bastion

2010

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“…It has been shown to be effective in the management of the epiretinal proliferation associated with proliferative vitreoretinopathy 1213 Since AIDS patients undergoing surgery for viral retinitis related retinal detachment have a limited life expectancy3 5 6 9 10 14 the long term sequelae of intraocular silicone oil15 are less likely to be encountered. The rationale for the use of silicone oil in this setting is therefore fundamentally different from its more general use in vitreoretinal surgery as a temporary (albeit long term in some cases) tamponading agent allowing time for adequate chorioretinal adhesion and the abatement of intraocular proliferation.…”

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confidence: 99%

“…Other series demonstrate mean or median survivals ranging from 17 to 37 weeks 35 6 9 11 14 18 Visual results are also fundamental to our surgical decision making. A best postoperative visual acuity of 20/100 or better was achieved in over 60% of patients, usually 1 to 2 months postoperatively.…”

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confidence: 99%

Surgical management of HIV related retinal detachment

Charteris

1997

British Journal of Ophthalmology

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Results of Rhegmatogenous Retinal Detachment Repair in Cytomegalovirus Retinitis With and Without Scleral Buckling

Cited by 4 publications

References 0 publications

Retinal detachment in AIDS: long term results after repair with silicone oil

Retinal detachment in AIDS: long term results after repair with silicone oil

Saved by the buckle: primary buckle vitrectomy for macular hole detachment due to rapid progression of premacular fibrosis in acute retinal necrosis

Surgical management of HIV related retinal detachment

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