Management of cataracts after Pars Plana Vitrectomy(PPV) with internal silicone oil tamponade in patients with AIDS and viral retinitis

R. S. Moorthy*, D. V. Weinberg, D. Friedberg, R. Feder

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose. To study the outcomes of cataract surgery with and without posterior chamber intraocular lens implants (PCIOL) in patients with AIDS after PPV with internal silicone oil tamponade for retinal detachments due to viral retinitis, Methode. The charts of 9 patients (12 eyes) with silicone oil who developed visually significant cataracts were reviewed. Five patients (7 eyes) underwent extracapsular cataract extraction (ECCE) without PCIOL. Four patient (5 eyes) underwent phacoemulsification with PCIOL. Results. All 12 eyes developed visually significant cataracts a mean period of 9 months after PPV and silicone oil tamponade. Median visual acuity immediately before cataract surgery was counting fingers (CF). Median best post operative visual acuity was 20/200. Median final visual acuity after a median follow-in of 5.5 months was CF. Calculation of PCIOL power was empirical and based of differences in refractive index between aqueous, silicone oil, and PCIOL. Intraoperative complications included posterior capsular rupture in 1 of 7 eyes that underwent ECCE. There were no cases of post-operative glaucoma or corneal decompensation YAG capsulotomy was performed in 5 of 12 eyes due to progressive posterior capsular opacification. Poor final visual outcome was due to progression of viral retinitis in 6 of 12 eyes. Conclusions. Cataract extraction with or without PCIOL implantation appears to be a safe procedure in patients with AIDS and viral retinitis associated retinal detachments after PPV with internal silicone oil tamponade. Final visual outcome is frequently limited by ongoing retinal disease.

Original languageEnglish (US)
Pages (from-to)S899
JournalInvestigative Ophthalmology and Visual Science
Volume37
Issue number3
StatePublished - Feb 15 1996

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

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