Ratanasukon Mansing, Kittantong Anuchit, Visaetsilpanonta Siriraksa, Somboonthanakij Sudawadee
Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand.
J Med Assoc Thai. 2007 Jun;90(6):1161-6.
To evaluate the efficacy and results of pars plana vitrectomy with endotamponade for retinal detachments caused by necrotizing retinitis in HIV patients.
The data of patients with HIV-related retinal detachment who underwent pars plana vitrectomy with silicone oil or gas endotamponade between January 2003 and June 2005 were retrospectively reviewed The outcome measures were demographic data, anatomical, and visual results.
Of all 24 eyes from 20 patients, 19 eyes underwent pars plana vitrectomy with silicone oil tamponade and 5 eyes with long-acting gas tamponade. Mean follow up time was 13 months (range 2-33 months). The overall anatomical success was 83% (84% and 80% with silicone oil and gas tamponade, respectively). Final best corrected visual acuity was equal or better than 5/200 in 12 eyes (50%). Forty-six percent had stabled or improved vision at the end of follow-up.
Pars plana vitrectomy with silicone oil or gas tamponade gives the high anatomical success rate in the repair of retinal detachments caused by necrotizing retinitis in HIV patients. There were the same reattachment rate and visual results between the two tamponade groups. However, the use of gas tamponade may be effective in patients with highly active antiretroviral therapy (HAART).
评估玻璃体切除术联合眼内填充术治疗HIV患者坏死性视网膜炎所致视网膜脱离的疗效和结果。
回顾性分析2003年1月至2005年6月间接受玻璃体切除术联合硅油或气体填充治疗的HIV相关性视网膜脱离患者的数据。观察指标包括人口统计学数据、解剖学和视力结果。
20例患者共24只眼，其中19只眼接受了玻璃体切除术联合硅油填充，5只眼接受了长效气体填充。平均随访时间为13个月（范围2 - 33个月）。总体解剖复位成功率为83%（硅油填充和气体填充分别为84%和80%）。最终最佳矫正视力等于或优于5/200的有12只眼（50%）。46%的患者在随访结束时视力稳定或提高。
玻璃体切除术联合硅油或气体填充治疗HIV患者坏死性视网膜炎所致视网膜脱离的解剖复位成功率高。两种填充组的视网膜复位率和视力结果相同。然而，气体填充在高效抗逆转录病毒治疗（HAART）的患者中可能有效。
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