Document 0041
 DOCN  M95B0041
 TI    Early pars plana vitrectomy without buckling procedure in
       cytomegalovirus retinitis-induced retinal detachment.
 DT    9511
 AU    Nasemann JE; Mutsch A; Wiltfang R; Klauss V; University Eye Hospital
       Munich, Germany.
 SO    Retina. 1995;15(2):111-6. Unique Identifier : AIDSLINE MED/95350452
 AB    BACKGROUND: Retinal detachments induced by cytomegalovirus (CMV)
       retinitis can often be treated successfully with a buckling procedure
       combined with vitrectomy and silicone oil instillation, but this
       technique yields varying visual results. METHODS: To minimize
       operational trauma, pars plana vitrectomy and silicone oil instillation
       without additional buckling was performed in a series of 11 consecutive
       patients with acquired immune deficiency syndrome (AIDS) and
       CMV-retinitis-induced retinal detachment. Surgery was performed early in
       the course of the retinal detachment: 6 patients (55%) had an attached
       macula, and 7 patients (64%) had a visual acuity of 20/200 or better.
       RESULTS: After a mean follow-up period of 5 months (range, 1-9 months) 9
       patients (82%) had a completely reattached retina and 9 patients (82%)
       had visual acuity of 20/200 or better. The macula was reattached in all
       patients. A localized detachment of the inferior retina was noted in 2
       patients (18%), and a second operation was required in one eye.
       Significant cataract formation occurred in two patients during the
       follow-up period. Proliferative vitreoretinopathy and increased
       intraocular pressure were not observed. CONCLUSION: Early vitrectomy
       without additional buckling procedures is justified in patients with
       CMV-associated retinal detachment because it stabilizes the retinal
       situation without major complications and improves visual function.
 DE    Adult  AIDS-Related Opportunistic Infections/*COMPLICATIONS
       Cytomegalovirus Retinitis/*COMPLICATIONS  Follow-Up Studies  Human  Male
       Middle Age  Postoperative Complications  Prognosis  Reoperation
       Retina/*SURGERY  Retinal Detachment/ETIOLOGY/*SURGERY  Scleral Buckling
       *Silicone Oils  Visual Acuity  *Vitrectomy  JOURNAL ARTICLE  REVIEW
       REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).