Visual Outcome of Cataract Surgery in AIDS Patients

  • กฤษฎา หาญบรรเจิด Bamrasnaraduna Infectious Disease Institute
Keywords: Cataract surgery, AIDS patient, Cytomegalovirus Cytomegalovirus retinitis

Abstract

The objectives of this retrospective case control study were to examine visual outcome of cataract surgery in AIDS patients and identify risk factors for poor visual outcome by collecting data from medical records for age, gender, pre-op CD4 count, cytomegalovirus association and sequalae, pre and post op visual acuity, immune recovery uveitis and occurrence of posterior capsule opacity. The result showed that approximately 50% of AIDS patients performed cataract surgery had visual acuity better than 20/40. Risk factor for visual outcomes poorer than 20/40 after cataract surgery was cytomegalovirus retinitis association (odd ratio ( 95%CI) 10 (2.55,39.30)P=0.000).

Downloads

Download data is not yet available.

References

1 Thorne JE, Jabs DA,Kempen JH,Holbrook JT, Nichols C, Meinert CL. Studies of Ocular Complication of AIDS Research Group. Effect of Cytomegalovirus Retinitis on the Risk OF Visual Acuity Loss Among Patients with Ophthalmology. 2007; 114: 591-598.

2 Thorne JE, Jabs DA, Kempen JH, Holbrook JT, Nichols C, Meinert CL. Studies of Ocular Complication of AIDS Research Group. Causes of visual acuity loss among Patient with AIDS and Cytomegalovirus Retinitis in the Era of Highly Active Antiretroviral Therapy. Ophthalmology. 2006; 113: 1441-1445.

3 Tanna PA, Kempen JH , Dunn JP, Haller JA , Jabs DA. Incidence and Management of Cataract after Retinal Detachment Repair with Silicone Oil in Immune Compromised Patient with Cytomegalovirus Retinitis. Am J Ophthalmol. 2006; 136: 1009-1015.

4 Jabs DA, Enger C, Bartlett JG. Cytomegalovirus retinitis and acquired immunodeficiency syndrome. Arch Ophthalmol. 1989; 107: 75-80.

5 Holland GN , Buhles WC Jr , Mastre B , et al. A controlled retrospective study of gancyclovir treatment for cytomegalovirus retinopathy: use of a standardized system for the assessment of disease outcome. Arch Ophthalmol. 1989; 107: 1759-66.

6 Federman JL, Schubert HD. Complications associated with the use of silicone oil in 500 eyes after retina-vitreous surgery.Ophthalmology. 1988; 95: 870-876.

7 Thorne JE, Jabs DA, Kempen JH, et al. Incidence of and risk factors for visual acuity loss among Patients with AIDS and cytomegalovirus retinitis in the Era of Highly Active Antiretroviral Therapy. Ophthalmology. 2006; 113: 1432- 1440.

8 Karavellas MP,Song M, Macdonald JC, Freeman WR. Long-term posterior and anterior segment complications of immune recovery uveitis associated with cytomegalovirus retinitis. Am J Ophthalmol. 2000: 130(1): 57-64.

9 Elgohary MA , McCluskey PJ , Towler HM, et al. Outcome of phacoemulsification in patients with uveitis. Br J Ophthalmol. 2007; 91(7): 916-21. Epub 2007 Jan 17.
Published
2008-12-31
Section
Original Article