Repair of retinal detachments due to herpes Varicella-Zoster virus retinitis in patients with acquired immune deficiency syndrome

D. V. Weinberg; A. T. Lyon

doi:10.1016/S0161-6420(97)30324-8

Repair of retinal detachments due to herpes Varicella-Zoster virus retinitis in patients with acquired immune deficiency syndrome

D. V. Weinberg^*, A. T. Lyon

^*Corresponding author for this work

Ophthalmology

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Purpose: The authors characterize surgical techniques and report results for repair of retinal detachments due to varicella-zoster retinitis in patients with acquired immune deficiency syndrome (AIDS). Background: Varicella-zoster virus (VZV) retinitis is a distinctly aggressive infection in patients with AIDS. Retinal detachments occur in the majority of such patients, and contribute to their poor visual prognosis. Methods: A case series of five eyes in four patients with AIDS and retinal detachments due to VZV retinitis is presented, highlighting surgical technique and results. Pars plana vitrectomy, silicone oil tamponade, and endolaser photocoagulation were used in all cases. Results: Apparent contraction of the necrotic retina was observed, requiring large relaxing retinectomies to achieve retinal attachment in three of the five eyes. Follow up after surgery was 4, 6, 15, 29, and 30 months. Four eyes maintained ambulatory vision and the retinas remained attached. Conclusion: Vitrectomy with silicone oil tamponade may be used to preserve ambulatory vision in carefully selected patients with AIDS and retinal detachments due to VZV retinitis. Relaxing retinectomy is a useful technique to achieve and maintain retinal attachment.

Original language	English (US)
Pages (from-to)	279-282
Number of pages	4
Journal	Ophthalmology
Volume	104
Issue number	2
DOIs	https://doi.org/10.1016/S0161-6420(97)30324-8
State	Published - 1997

Funding

Originally received: May 10, 1996. Revision accepted: September 20, 1996. 'Department of Ophthalmology. Northwestern University Medical School, Chicago, Illinois. 2Veterans Administration Lakeside Medical Center, Chicago, Illinois. Presented at the Association for Research in Vision and Ophthalmology Annual Meeting, Ft. Lauderdale, April 22, 1996. Supported in part by an unrestricted grant from Research to Prevent Blindness, Inc., New York, New York. The authors have no proprietary interest in the products or techniques described in this article. Reprint requests to David V. Weinberg, MD, 645 N. Michigan Ave, Suite 440, Chicago, IL 60611.

ASJC Scopus subject areas

Ophthalmology

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10.1016/S0161-6420(97)30324-8

Cite this

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title = "Repair of retinal detachments due to herpes Varicella-Zoster virus retinitis in patients with acquired immune deficiency syndrome",

abstract = "Purpose: The authors characterize surgical techniques and report results for repair of retinal detachments due to varicella-zoster retinitis in patients with acquired immune deficiency syndrome (AIDS). Background: Varicella-zoster virus (VZV) retinitis is a distinctly aggressive infection in patients with AIDS. Retinal detachments occur in the majority of such patients, and contribute to their poor visual prognosis. Methods: A case series of five eyes in four patients with AIDS and retinal detachments due to VZV retinitis is presented, highlighting surgical technique and results. Pars plana vitrectomy, silicone oil tamponade, and endolaser photocoagulation were used in all cases. Results: Apparent contraction of the necrotic retina was observed, requiring large relaxing retinectomies to achieve retinal attachment in three of the five eyes. Follow up after surgery was 4, 6, 15, 29, and 30 months. Four eyes maintained ambulatory vision and the retinas remained attached. Conclusion: Vitrectomy with silicone oil tamponade may be used to preserve ambulatory vision in carefully selected patients with AIDS and retinal detachments due to VZV retinitis. Relaxing retinectomy is a useful technique to achieve and maintain retinal attachment.",

author = "Weinberg, {D. V.} and Lyon, {A. T.}",

note = "Funding Information: Originally received: May 10, 1996. Revision accepted: September 20, 1996. 'Department of Ophthalmology. Northwestern University Medical School, Chicago, Illinois. 2Veterans Administration Lakeside Medical Center, Chicago, Illinois. Presented at the Association for Research in Vision and Ophthalmology Annual Meeting, Ft. Lauderdale, April 22, 1996. Supported in part by an unrestricted grant from Research to Prevent Blindness, Inc., New York, New York. The authors have no proprietary interest in the products or techniques described in this article. Reprint requests to David V. Weinberg, MD, 645 N. Michigan Ave, Suite 440, Chicago, IL 60611.",

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doi = "10.1016/S0161-6420(97)30324-8",

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AU - Lyon, A. T.

N1 - Funding Information: Originally received: May 10, 1996. Revision accepted: September 20, 1996. 'Department of Ophthalmology. Northwestern University Medical School, Chicago, Illinois. 2Veterans Administration Lakeside Medical Center, Chicago, Illinois. Presented at the Association for Research in Vision and Ophthalmology Annual Meeting, Ft. Lauderdale, April 22, 1996. Supported in part by an unrestricted grant from Research to Prevent Blindness, Inc., New York, New York. The authors have no proprietary interest in the products or techniques described in this article. Reprint requests to David V. Weinberg, MD, 645 N. Michigan Ave, Suite 440, Chicago, IL 60611.

PY - 1997

Y1 - 1997

N2 - Purpose: The authors characterize surgical techniques and report results for repair of retinal detachments due to varicella-zoster retinitis in patients with acquired immune deficiency syndrome (AIDS). Background: Varicella-zoster virus (VZV) retinitis is a distinctly aggressive infection in patients with AIDS. Retinal detachments occur in the majority of such patients, and contribute to their poor visual prognosis. Methods: A case series of five eyes in four patients with AIDS and retinal detachments due to VZV retinitis is presented, highlighting surgical technique and results. Pars plana vitrectomy, silicone oil tamponade, and endolaser photocoagulation were used in all cases. Results: Apparent contraction of the necrotic retina was observed, requiring large relaxing retinectomies to achieve retinal attachment in three of the five eyes. Follow up after surgery was 4, 6, 15, 29, and 30 months. Four eyes maintained ambulatory vision and the retinas remained attached. Conclusion: Vitrectomy with silicone oil tamponade may be used to preserve ambulatory vision in carefully selected patients with AIDS and retinal detachments due to VZV retinitis. Relaxing retinectomy is a useful technique to achieve and maintain retinal attachment.

AB - Purpose: The authors characterize surgical techniques and report results for repair of retinal detachments due to varicella-zoster retinitis in patients with acquired immune deficiency syndrome (AIDS). Background: Varicella-zoster virus (VZV) retinitis is a distinctly aggressive infection in patients with AIDS. Retinal detachments occur in the majority of such patients, and contribute to their poor visual prognosis. Methods: A case series of five eyes in four patients with AIDS and retinal detachments due to VZV retinitis is presented, highlighting surgical technique and results. Pars plana vitrectomy, silicone oil tamponade, and endolaser photocoagulation were used in all cases. Results: Apparent contraction of the necrotic retina was observed, requiring large relaxing retinectomies to achieve retinal attachment in three of the five eyes. Follow up after surgery was 4, 6, 15, 29, and 30 months. Four eyes maintained ambulatory vision and the retinas remained attached. Conclusion: Vitrectomy with silicone oil tamponade may be used to preserve ambulatory vision in carefully selected patients with AIDS and retinal detachments due to VZV retinitis. Relaxing retinectomy is a useful technique to achieve and maintain retinal attachment.

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Repair of retinal detachments due to herpes Varicella-Zoster virus retinitis in patients with acquired immune deficiency syndrome

Abstract

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