[艾滋病患者巨细胞病毒引起的视网膜炎。38例患者的临床治疗方面及其与HIV视网膜微血管病变的关系]

[Retinitis caused by cytomegalovirus in patients with AIDS. Clinico-therapeutic aspects and relationship with HIV retinal microangiopathy in a series of 38 patients].

作者信息

González Guijarro J, Polo Rodríguez R M, Ramos Martínez M A, Acebes Verdugo F, González Lahoz J M, Verdejo Ortés J

机构信息

Servicio de Oftalmología, Hospital de la Princesa, Madrid.

出版信息

Rev Clin Esp. 1992 Sep;191(4):193-7.

PMID:1332145

Abstract

We evaluate retrospectively 38 patients with AIDS and Cytomegalovirus (CMV) retinitis. In 72.5% (45 from 62 eyes) it carried an important sight risk; 50% of the end of the follow-up. Evidence of extraocular illness in 28.5% of the patients. Using control groups the AIDS microvasculopathy is neither more frequent in CMV-retinitis nor associated with a special risk group (p greater than 0.05), we review treatment, follow-up and complications. The median survival was 6 months without significan differences (p greater than 0.05) with or without the finding of microvasculopathy, bilaterality or extraocular illness.

摘要

我们回顾性评估了38例患有艾滋病和巨细胞病毒（CMV）视网膜炎的患者。在72.5%（62只眼中的45只）的病例中存在严重的视力风险；随访结束时为50%。28.5%的患者有眼外疾病的证据。通过对照组发现，艾滋病微血管病变在CMV视网膜炎患者中并不更常见，也与特定风险组无关（p大于0.05），我们回顾了治疗、随访及并发症情况。无论有无微血管病变、双侧病变或眼外疾病，中位生存期均为6个月，无显著差异（p大于0.05）。