艾滋病患者因病毒性视网膜炎相关视网膜脱离接受治疗时硅胶诱导性白内障的管理。
Management of silicone-induced cataract in AIDS patients treated for viral retinitis-associated retinal detachment.
作者信息
Korobelnik J F, Hannouche D, Cochereau I, Demers P, Hoang-Xuan T
机构信息
Department of Ophthalmology, Bichat-Claude Bernard Hospital, Paris, France.
出版信息
Ophthalmic Surg Lasers. 1997 Oct;28(10):828-31.
BACKGROUND AND OBJECTIVE
To evaluate the outcome of cataract surgery for patients with acquired immunodeficiency syndrome (AIDS) who underwent vitrectomy and silicone tamponade for viral retinitis-associated retinal detachment.
PATIENTS AND METHODS
The authors retrospectively reviewed the data of five AIDS patients (five eyes) who had cataract within a mean period of 4 months following vitrectomy and silicone oil tamponade for viral retinitis-associated retinal detachment. Phacoemulsification and implantation of a poly-methylmethacrylate posterior chamber intraocular lens were performed. The mean postoperative follow-up was 3 months.
RESULTS
Neither silicone oil loss nor retinal redetachment were reported postoperatively. Visual acuity improved in two eyes and remained unchanged in one eye. Total blindness occurred in two eyes.
CONCLUSION
Although cataract surgery in these eyes is a relative easy procedure and does not interfere with the retinal status, visual outcome remains poor because of possible postoperative optic atrophy.
背景与目的
评估因病毒性视网膜炎相关视网膜脱离而接受玻璃体切除术及硅油填塞的获得性免疫缺陷综合征（AIDS）患者白内障手术的效果。
患者与方法
作者回顾性分析了5例AIDS患者（5只眼）的数据，这些患者在因病毒性视网膜炎相关视网膜脱离接受玻璃体切除术及硅油填塞后的平均4个月内发生了白内障。均接受了超声乳化白内障吸除术及聚甲基丙烯酸甲酯后房型人工晶状体植入术。术后平均随访3个月。
结果
术后未报告硅油丢失或视网膜再脱离情况。2只眼视力提高，1只眼视力不变。2只眼完全失明。
结论
尽管这些患眼的白内障手术相对简单，且不影响视网膜状况，但由于可能出现术后视神经萎缩，视力预后仍然较差。
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