Hardy W D
Pacific Oaks Medical Group Research Department and University of California, School of Medicine, Los Angeles 90211, USA.
J Acquir Immune Defic Syndr Hum Retrovirol. 1997;14 Suppl 1:S7-12. doi: 10.1097/00042560-199700001-00003.
Each of the available antiviral agents has significant advantages and disadvantages, and the choice of therapy must include consideration of the extent and location of the eye disease, the patient's lifestyle and medical history, and the potential for drug interactions with the many other medications that a patient with advanced AIDS may be receiving. Treatment of CMV retinitis requires the active participation of several dedicated health care providers: the primary care physician, the ophthalmologist, nurses, and social workers. All are integral parts of a clinical treatment team engaged in providing optimal therapy. Most important, it is critical for patients to be involved with their own health care. Patients should be taught to recognize early signs of decreased vision and should be involved in important decision-making steps for their own treatment.
每种可用的抗病毒药物都有显著的优缺点,治疗方案的选择必须考虑眼部疾病的范围和位置、患者的生活方式和病史,以及与晚期艾滋病患者可能正在服用的许多其他药物发生药物相互作用的可能性。巨细胞病毒性视网膜炎的治疗需要几位专业医护人员的积极参与:初级保健医生、眼科医生、护士和社会工作者。他们都是参与提供最佳治疗的临床治疗团队的重要组成部分。最重要的是,患者参与自身的医疗护理至关重要。应教会患者识别视力下降的早期迹象,并应让他们参与自身治疗的重要决策步骤。