Document 0832
 DOCN  M9550832
 TI    Results of rhegmatogenous retinal detachment repair in cytomegalovirus
       retinitis with and without scleral buckling.
 DT    9505
 AU    Garcia RF; Flores-Aguilar M; Quiceno JI; Capparelli EV; Munguia D;
       Kuppermann BD; Arevalo F; Freeman WR; Department of Ophthalmology,
       University of California, San Diego; 92093-0946.
 SO    Ophthalmology. 1995 Feb;102(2):236-45. Unique Identifier : AIDSLINE
       MED/95166520
 AB    PURPOSE: To determine if scleral buckling is of any benefit in surgical
       repair of cytomegalovirus (CMV)-associated retinal detachment if
       combined with vitrectomy, silicone oil, and inferior midperipheral
       endolaser. MATERIALS AND METHODS: Twenty-two consecutive eyes with
       CMV-associated retinal detachments were repaired with vitrectomy and
       endolaser to all breaks and to the inferior midperipheral retina using
       silicone oil without scleral buckling (group 1, control group) between
       July 1987 and May 1992. Results were compared with another series of 56
       consecutive eyes undergoing vitrectomy, silicone oil injection,
       endolaser to all breaks, and 360 degrees encircling scleral buckling
       (group 2, study group) between June 1992 and July 1993. RESULTS: Total
       retinal reattachment rates were 84% for group 1 and 86% for group 2.
       Rates of macular reattachment were 91% for group 1 and 91% for group 2.
       Mean best postoperative refracted visual acuity was 20/66 for group 1
       and 20/67 for group 2. Median best postoperative refracted visual acuity
       was 20/74 for group 1 and 20/80 for group 2. These differences in
       results between the two groups were not statistically significant. Mean
       postoperative refractive error was +3.95 for group 1 and +4.92 for group
       2. Patients who underwent surgery with the macula attached had a better
       postoperative visual outcome. CONCLUSION: Scleral buckling may not be
       necessary in CMV-related retinal detachment if repaired with vitrectomy,
       silicone oil, and inferior midperipheral endolaser. Elimination of
       scleral buckling may reduce intraoperative time, patient morbidity, and
       the risk of an accidental needle stick. Patients with macula-on retinal
       detachments also should be considered for surgery before macular
       detachment.
 DE    Adult  AIDS-Related Opportunistic Infections/*COMPLICATIONS  Comparative
       Study  Cytomegalovirus Retinitis/*COMPLICATIONS  Eye Infections,
       Viral/*COMPLICATIONS  Fundus Oculi  Human  Laser Surgery  Middle Age
       Retinal Detachment/ETIOLOGY/PATHOLOGY/*SURGERY  *Scleral Buckling
       Silicone Oils/ADMINISTRATION & DOSAGE  Support, Non-U.S. Gov't  Support,
       U.S. Gov't, P.H.S.  Treatment Outcome  Visual Acuity  Vitrectomy
       JOURNAL ARTICLE

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