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艾滋病和巨细胞病毒性视网膜炎患者的视网膜脱离:激光光凝治疗的作用

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

作者信息

McCluskey P, Grigg J, Playfair T J

机构信息

Laboratory of Ocular Immunology, School of Pathology, University of New South Wales, Australia.

出版信息

Br J Ophthalmol. 1995 Feb;79(2):153-6. doi: 10.1136/bjo.79.2.153.

DOI:10.1136/bjo.79.2.153
PMID:7696236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC505047/
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.

摘要

对1985年1月至1992年6月在圣文森特医院眼科免疫门诊接受治疗的所有巨细胞病毒(CMV)相关性视网膜脱离且感染HIV的患者进行了回顾性研究。在此期间,共治疗了142例CMV视网膜炎患者,其中14例患者的17只眼睛发生了与CMV视网膜炎相关的视网膜脱离。对其中11例患者的14只眼睛进行了手术治疗,采用了激光光凝、冷冻疗法、巩膜扣带术、玻璃体切除术和硅油填充等联合治疗方法。仅对5例患者使用激光光凝治疗,视觉效果极佳。大多数患者(90.9%)从手术中获益,视力得以稳定或提高。

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本文引用的文献

1
Prevalence, pathophysiology, and treatment of rhegmatogenous retinal detachment in treated cytomegalovirus retinitis.
Am J Ophthalmol. 1987 Apr 15;103(4):527-36. doi: 10.1016/s0002-9394(14)74276-x.
2
Combined short- and long-term therapy for the treatment of cytomegalovirus retinitis using ganciclovir (BW B759U).使用更昔洛韦(BW B759U)联合短期和长期疗法治疗巨细胞病毒性视网膜炎
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Treatment of cytomegalovirus retinitis with ganciclovir.更昔洛韦治疗巨细胞病毒性视网膜炎
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Rhegmatogenous retinal detachments in patients with AIDS and necrotizing retinal infections.艾滋病患者及坏死性视网膜感染患者的孔源性视网膜脱离
Ophthalmology. 1991 Feb;98(2):129-35.
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Treatment of retinal detachments in patients with the acquired immune deficiency syndrome.获得性免疫缺陷综合征患者视网膜脱离的治疗
Ophthalmology. 1991 Jun;98(6):939-43. doi: 10.1016/s0161-6420(91)32217-6.
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Retinal detachments in patients with cytomegalovirus retinitis.
Arch Ophthalmol. 1991 Jun;109(6):794-9. doi: 10.1001/archopht.1991.01080060058024.
9
Management of retinal detachment associated with CMV retinitis in AIDS patients.艾滋病患者中与巨细胞病毒性视网膜炎相关的视网膜脱离的管理。
Eye (Lond). 1992;6 ( Pt 1):28-34. doi: 10.1038/eye.1992.4.
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Repair of retinitis-related retinal detachments with silicone oil in patients with acquired immunodeficiency syndrome.
Am J Ophthalmol. 1992 Jan 15;113(1):21-7. doi: 10.1016/s0002-9394(14)75747-2.