Early pars plana vitrectomy without buckling procedure in cytomegalovirus retinitis-induced retinal detachment
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Date
1995Author
Nasemann, JE
Mutsch, A
Wiltfang, R
Klauss, V
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
BACKGROUND:
Retinal detachments induced by cytomegalovirus (CMV) retinitis can often be treated successfully with a buckling procedure combined with vitrectomy and silicone oil instillation, but this technique yields varying visual results.
METHODS:
To minimize operational trauma, pars plana vitrectomy and silicone oil instillation without additional buckling was performed in a series of 11 consecutive patients with acquired immune deficiency syndrome (AIDS) and CMV-retinitis-induced retinal detachment. Surgery was performed early in the course of the retinal detachment: 6 patients (55%) had an attached macula, and 7 patients (64%) had a visual acuity of 20/200 or better.
RESULTS:
After a mean follow-up period of 5 months (range, 1-9 months) 9 patients (82%) had a completely reattached retina and 9 patients (82%) had visual acuity of 20/200 or better. The macula was reattached in all patients. A localized detachment of the inferior retina was noted in 2 patients (18%), and a second operation was required in one eye. Significant cataract formation occurred in two patients during the follow-up period. Proliferative vitreoretinopathy and increased intraocular pressure were not observed.
CONCLUSION:
Early vitrectomy without additional buckling procedures is justified in patients with CMV-associated retinal detachment because it stabilizes the retinal situation without major complications and improves visual function
URI
http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/7624597http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/35570
Citation
Retina. 1995;15(2):111-6.Publisher
College of health sciences,University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10378]