Pars Plana Vitrectomy with Silicone Oil or Gas Endotamponade in HIV-Related Rhegmatogenous Retinal Detachments in Thai Patients

To evaluate the efficacy and results of pars plana vitrectomy with endotamponade for retinal detachments caused by necrotizing retinitis in HIV patients. The data of patients with HIV-related retinal detachment who underwent pars plana vitrectomy with silicone oil or gas endotamponade between Januar...

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Veröffentlicht in:Journal of the Medical Association of Thailand 2007-06, Vol.90 (6), p.1161-1166
Hauptverfasser: RATANASUKON, Mansing, KITTANTONG, Anuchit, VISAETSILPANONTA, Siriraksa, SOMBOONTHANAKIJ, Sudawadee
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container_issue 6
container_start_page 1161
container_title Journal of the Medical Association of Thailand
container_volume 90
creator RATANASUKON, Mansing
KITTANTONG, Anuchit
VISAETSILPANONTA, Siriraksa
SOMBOONTHANAKIJ, Sudawadee
description To evaluate the efficacy and results of pars plana vitrectomy with endotamponade for retinal detachments caused by necrotizing retinitis in HIV patients. The data of patients with HIV-related retinal detachment who underwent pars plana vitrectomy with silicone oil or gas endotamponade between January 2003 and June 2005 were retrospectively reviewed The outcome measures were demographic data, anatomical, and visual results. Of all 24 eyes from 20 patients, 19 eyes underwent pars plana vitrectomy with silicone oil tamponade and 5 eyes with long-acting gas tamponade. Mean follow up time was 13 months (range 2-33 months). The overall anatomical success was 83% (84% and 80% with silicone oil and gas tamponade, respectively). Final best corrected visual acuity was equal or better than 5/200 in 12 eyes (50%). Forty-six percent had stabled or improved vision at the end of follow-up. Pars plana vitrectomy with silicone oil or gas tamponade gives the high anatomical success rate in the repair of retinal detachments caused by necrotizing retinitis in HIV patients. There were the same reattachment rate and visual results between the two tamponade groups. However, the use of gas tamponade may be effective in patients with highly active antiretroviral therapy (HAART).
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The data of patients with HIV-related retinal detachment who underwent pars plana vitrectomy with silicone oil or gas endotamponade between January 2003 and June 2005 were retrospectively reviewed The outcome measures were demographic data, anatomical, and visual results. Of all 24 eyes from 20 patients, 19 eyes underwent pars plana vitrectomy with silicone oil tamponade and 5 eyes with long-acting gas tamponade. Mean follow up time was 13 months (range 2-33 months). The overall anatomical success was 83% (84% and 80% with silicone oil and gas tamponade, respectively). Final best corrected visual acuity was equal or better than 5/200 in 12 eyes (50%). Forty-six percent had stabled or improved vision at the end of follow-up. Pars plana vitrectomy with silicone oil or gas tamponade gives the high anatomical success rate in the repair of retinal detachments caused by necrotizing retinitis in HIV patients. There were the same reattachment rate and visual results between the two tamponade groups. 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The data of patients with HIV-related retinal detachment who underwent pars plana vitrectomy with silicone oil or gas endotamponade between January 2003 and June 2005 were retrospectively reviewed The outcome measures were demographic data, anatomical, and visual results. Of all 24 eyes from 20 patients, 19 eyes underwent pars plana vitrectomy with silicone oil tamponade and 5 eyes with long-acting gas tamponade. Mean follow up time was 13 months (range 2-33 months). The overall anatomical success was 83% (84% and 80% with silicone oil and gas tamponade, respectively). Final best corrected visual acuity was equal or better than 5/200 in 12 eyes (50%). Forty-six percent had stabled or improved vision at the end of follow-up. Pars plana vitrectomy with silicone oil or gas tamponade gives the high anatomical success rate in the repair of retinal detachments caused by necrotizing retinitis in HIV patients. There were the same reattachment rate and visual results between the two tamponade groups. However, the use of gas tamponade may be effective in patients with highly active antiretroviral therapy (HAART).</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Fluorocarbons - administration &amp; dosage</subject><subject>General aspects</subject><subject>HIV Infections - complications</subject><subject>HIV Seropositivity</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Retinal Detachment - surgery</subject><subject>Retinal Detachment - virology</subject><subject>Retinal Necrosis Syndrome, Acute - complications</subject><subject>Retinal Perforations - surgery</subject><subject>Retinal Perforations - virology</subject><subject>Retinopathies</subject><subject>Retrospective Studies</subject><subject>Silicone Oils - administration &amp; dosage</subject><subject>Thailand</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Aids</topic><topic>Vitrectomy - methods</topic><topic>Vitreoretinopathy, Proliferative - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>RATANASUKON, Mansing</creatorcontrib><creatorcontrib>KITTANTONG, Anuchit</creatorcontrib><creatorcontrib>VISAETSILPANONTA, Siriraksa</creatorcontrib><creatorcontrib>SOMBOONTHANAKIJ, Sudawadee</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Medical Association of Thailand</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RATANASUKON, Mansing</au><au>KITTANTONG, Anuchit</au><au>VISAETSILPANONTA, Siriraksa</au><au>SOMBOONTHANAKIJ, Sudawadee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pars Plana Vitrectomy with Silicone Oil or Gas Endotamponade in HIV-Related Rhegmatogenous Retinal Detachments in Thai Patients</atitle><jtitle>Journal of the Medical Association of Thailand</jtitle><addtitle>J Med Assoc Thai</addtitle><date>2007-06</date><risdate>2007</risdate><volume>90</volume><issue>6</issue><spage>1161</spage><epage>1166</epage><pages>1161-1166</pages><issn>0125-2208</issn><coden>JMTHBU</coden><abstract>To evaluate the efficacy and results of pars plana vitrectomy with endotamponade for retinal detachments caused by necrotizing retinitis in HIV patients. 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subjects Adolescent
Adult
Biological and medical sciences
Child
Female
Fluorocarbons - administration & dosage
General aspects
HIV Infections - complications
HIV Seropositivity
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Middle Aged
Ophthalmology
Retinal Detachment - surgery
Retinal Detachment - virology
Retinal Necrosis Syndrome, Acute - complications
Retinal Perforations - surgery
Retinal Perforations - virology
Retinopathies
Retrospective Studies
Silicone Oils - administration & dosage
Thailand
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Vitrectomy - methods
Vitreoretinopathy, Proliferative - surgery
title Pars Plana Vitrectomy with Silicone Oil or Gas Endotamponade in HIV-Related Rhegmatogenous Retinal Detachments in Thai Patients
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