Weinberg D V, Lyon A T
Department of Ophthalmology, Northwestern University Medical School, Chicago, Illinois, USA.
Ophthalmology. 1997 Feb;104(2):279-82. doi: 10.1016/s0161-6420(97)30324-8.
The authors characterize surgical techniques and report results for repair of retinal detachments due to varicella-zoster retinitis in patients with acquired immune deficiency syndrome (AIDS).
Varicella-zoster virus (VZV) retinitis is a distinctly aggressive infection in patients with AIDS. Retinal detachments occur in the majority of such patients, and contribute to their poor visual prognosis.
A case series of five eyes in four patients with AIDS and retinal detachments due to VZV retinitis is presented, highlighting surgical technique and results. Pars plana vitrectomy, silicone oil tamponade, and endolaser photocoagulation were used in all cases.
Apparent contraction of the necrotic retina was observed, requiring large relaxing retinectomies to achieve retinal attachment in three of the five eyes. Follow up after surgery was 4, 6, 15, 29, and 30 months. Four eyes maintained ambulatory vision and the retinas remained attached.
Vitrectomy with silicone oil tamponade may be used to preserve ambulatory vision in carefully selected patients with AIDS and retinal detachments due to VZV retinitis. Relaxing retinectomy is a useful technique to achieve and maintain retinal attachment.
作者描述手术技术，并报告获得性免疫缺陷综合征（AIDS）患者因水痘-带状疱疹性视网膜炎导致视网膜脱离的修复结果。
水痘-带状疱疹病毒（VZV）视网膜炎在AIDS患者中是一种极具侵袭性的感染。大多数此类患者会发生视网膜脱离，这导致他们视力预后不佳。
本文介绍了4例AIDS患者因VZV视网膜炎导致视网膜脱离的5只眼的病例系列，重点介绍了手术技术和结果。所有病例均采用经平坦部玻璃体切除术、硅油填充和眼内激光光凝术。
观察到坏死视网膜明显收缩，5只眼中有3只需要进行大范围的视网膜松解切除术以实现视网膜复位。术后随访时间分别为4、6、15、29和30个月。4只眼保持可走动视力，视网膜保持复位状态。
对于精心挑选的因VZV视网膜炎导致视网膜脱离的AIDS患者，玻璃体切除联合硅油填充术可用于保留可走动视力。视网膜松解切除术是实现和维持视网膜复位的一种有用技术。
