Skip to main content
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1995 Feb;79(2):153–156. doi: 10.1136/bjo.79.2.153

Retinal detachments in patients with AIDS and CMV retinopathy: a role for laser photocoagulation.

P McCluskey 1, J Grigg 1, T J Playfair 1
PMCID: PMC505047  PMID: 7696236

Abstract

A retrospective review of all patients with a cytomegalovirus (CMV) related retinal detachment and HIV infection managed at the ocular immunology clinic at St Vincent's Hospital between January 1985 and June 1992 was performed. Over this period 142 patients with CMV retinopathy were managed and 17 eyes from 14 of these patients developed a retinal detachment related to CMV retinopathy. Fourteen eyes from 11 of these patients were treated surgically with combinations of laser photocoagulation, cryopexy, scleral buckling, vitrectomy, and silicone oil tamponade. The use of laser photocoagulation alone in five patients resulted in an excellent visual outcome. The majority of patients (90.9%) benefited from surgery in that vision was either stabilised or improved.

Full text

PDF
153

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chuang E. L., Davis J. L. Management of retinal detachment associated with CMV retinitis in AIDS patients. Eye (Lond) 1992;6(Pt 1):28–34. doi: 10.1038/eye.1992.4. [DOI] [PubMed] [Google Scholar]
  2. Freeman W. R., Henderly D. E., Wan W. L., Causey D., Trousdale M., Green R. L., Rao N. A. Prevalence, pathophysiology, and treatment of rhegmatogenous retinal detachment in treated cytomegalovirus retinitis. Am J Ophthalmol. 1987 Apr 15;103(4):527–536. doi: 10.1016/s0002-9394(14)74276-x. [DOI] [PubMed] [Google Scholar]
  3. Holland G. N., Sidikaro Y., Kreiger A. E., Hardy D., Sakamoto M. J., Frenkel L. M., Winston D. J., Gottlieb M. S., Bryson Y. J., Champlin R. E. Treatment of cytomegalovirus retinopathy with ganciclovir. Ophthalmology. 1987 Jul;94(7):815–823. doi: 10.1016/s0161-6420(87)33534-1. [DOI] [PubMed] [Google Scholar]
  4. Holland G. N. The management of retinal detachments in patients with acquired immunodeficiency syndrome. Arch Ophthalmol. 1991 Jun;109(6):791–793. doi: 10.1001/archopht.1991.01080060055023. [DOI] [PubMed] [Google Scholar]
  5. Jabs D. A., Enger C., Haller J., de Bustros S. Retinal detachments in patients with cytomegalovirus retinitis. Arch Ophthalmol. 1991 Jun;109(6):794–799. doi: 10.1001/archopht.1991.01080060058024. [DOI] [PubMed] [Google Scholar]
  6. Jabs D. A., Newman C., De Bustros S., Polk B. F. Treatment of cytomegalovirus retinitis with ganciclovir. Ophthalmology. 1987 Jul;94(7):824–830. doi: 10.1016/s0161-6420(87)33535-3. [DOI] [PubMed] [Google Scholar]
  7. Orellana J., Teich S. A., Friedman A. H., Lerebours F., Winterkorn J., Mildvan D. Combined short- and long-term therapy for the treatment of cytomegalovirus retinitis using ganciclovir (BW B759U). Ophthalmology. 1987 Jul;94(7):831–838. doi: 10.1016/s0161-6420(87)33536-5. [DOI] [PubMed] [Google Scholar]
  8. Orellana J., Teich S. A., Lieberman R. M., Restrepo S., Peairs R. Treatment of retinal detachments in patients with the acquired immune deficiency syndrome. Ophthalmology. 1991 Jun;98(6):939–943. doi: 10.1016/s0161-6420(91)32217-6. [DOI] [PubMed] [Google Scholar]
  9. Regillo C. D., Vander J. F., Duker J. S., Fischer D. H., Belmont J. B., Kleiner R. Repair of retinitis-related retinal detachments with silicone oil in patients with acquired immunodeficiency syndrome. Am J Ophthalmol. 1992 Jan 15;113(1):21–27. doi: 10.1016/s0002-9394(14)75747-2. [DOI] [PubMed] [Google Scholar]
  10. Sidikaro Y., Silver L., Holland G. N., Kreiger A. E. Rhegmatogenous retinal detachments in patients with AIDS and necrotizing retinal infections. Ophthalmology. 1991 Feb;98(2):129–135. [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES