Kaulen P, Wiemer C, Wollensak J; International Conference on AIDS.
Int Conf AIDS. 1993 Jun 6-11; 9: 358 (abstract no. PO-B08-1335).
Praxis fur Augenheilkunde, Freien Universitat Berlin, Germany.
OBJECTIVES: To compare the rate of retinal detachment in patients (pts) after cytomegalovirus (CMV) retinitis that had been under regular ophthalmologic control with the rate under accidental control. METHODS: Between Sept. 91 and Febr. 93 602 HIV infected pts (436 with AIDS) were enrolled in a prospective observation. 52% (313) of pts were examined only once or first time at the onset of CMV retinitis whereas 48% (289) were under ophthalmologic control before the onset of retinitis. The appearance of CMV retinitis as well as the rate of retinal detachment was compared in both groups. RESULTS: CMV retinitis was found in 82 pts (19%) with AIDS. 54 pts showed the non hemorrhagic peripheral type of retinitis whereas in 28 pts the hemorrhagic exudative form was found. Lesions of smaller extension were seen in patients under regular control as compared with accidental control. 8 patients developed a retinal detachment during or after acute retinitis, 2 (2%) of these patients were under former control, 6 (7%) pts were not. CONCLUSIONS: In contrast to published data we found a lower rate of retinal detachment after CMV retinitis (10% vs. 20%) especially in pts under ophthalmologic control in comparison with those who were accidentally examined. This may be due to the formation of smaller retinal scars after the early diagnosis of CMV retinitis.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Cytomegalovirus
- Cytomegalovirus Retinitis
- HIV Infections
- Humans
- Longitudinal Studies
- Retinal Detachment
- Retinal Diseases
- prevention & control
Other ID:
UI: 102204253
From Meeting Abstracts