Clear lens extraction with intraocular lens implantation during retinal detachment repair in patients with autoimmune deficiency syndrome and cytomegalovirus retinitis

摘要: Abstract Objective To assess the outcomes of clear lens extraction with intraocular (IOL) implantation during repair retinal detachment by vitrectomy silicone oil tamponade in patients acquired immunodeficiency syndrome (AIDS) and cytomegalovirus (CMV) retinitis. Design Retrospective, noncomparative case series. Participants Twelve eyes 10 AIDS, CMV retinitis, detachment. Intervention All underwent phacoemulsification posterior chamber IOL placement at time for A targeted postoperative refractive error −5.00 diopters (D) to −3.00 D was chosen an attempt counteract hyperopic effect oil. Main outcome measures The following factors were evaluated: visual acuity, error, intraoperative complications. Results Median follow-up 7 months (range, 1–46 months). For without macular necrosis, median best-corrected preoperative acuity 20/75 20/20–20/800), best 20/50 20/20–20/400). final 20/140 20/25 count fingers 1 foot). (spherical equivalent) −1.00 −4.00 +7.88 D). Reoperation required 3 12 recurrent (1 underfill; 2 proliferative vitreoretinopathy). macula attached all last follow-up. Reattachment peripheral retina achieved eyes. There no anterior segment Conclusions Clear does not seem increase complications may improve long-term rehabilitation, retinitis management allowing better visualization throughout course, decrease overall cost morbidity associated cataract as a second procedure.