PMID: 11927422Apr 3, 2002Paper

Clear lens extraction with intraocular lens implantation during retinal detachment repair in patients with Acquired Immune Deficiency Syndrome (AIDS) [correction of autoimmune deficiency syndrome] and cytomegalovirus retinitis

Ophthalmology
Robert E EngstromGary N Holland

Abstract

To assess the outcomes of clear lens extraction with intraocular lens (IOL) implantation during repair of retinal detachment by vitrectomy with silicone oil tamponade in patients with acquired immunodeficiency syndrome (AIDS) and cytomegalovirus (CMV) retinitis. Retrospective, noncomparative case series. Twelve eyes of 10 patients with AIDS, CMV retinitis, and retinal detachment. All patients underwent phacoemulsification with posterior chamber IOL placement at the time of vitrectomy with silicone oil tamponade for repair of retinal detachment. A targeted postoperative refractive error of -5.00 diopters (D) to -3.00 D was chosen in an attempt to counteract the hyperopic effect of silicone oil. The following factors were evaluated: postoperative visual acuity, refractive error, and intraoperative and postoperative complications. Median follow-up was 7 months (range, 1-46 months). For patients without macular necrosis, median best-corrected preoperative visual acuity was 20/75 (range, 20/20-20/800), and median best postoperative visual acuity was 20/50 (range, 20/20-20/400). Median final visual acuity was 20/140 (range, 20/25 to count fingers at 1 foot). The median postoperative refractive error (spherical equivalent) was -1.00 D...Continue Reading

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Citations

Jun 14, 2006·International Ophthalmology Clinics·Torsten W Wiegand, Lucy H Y Young
Oct 11, 2005·American Journal of Ophthalmology·Victoria L MorrisonWilliam R Freeman
Nov 29, 2005·American Journal of Ophthalmology·Janet Davis

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