May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Retinal Detachment After Viral Retinal Necrosis
Author Affiliations & Notes
  • J. Diaz-Rubio
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • A. Lorenzo
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • V. Kon
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • M. Torres
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • E. Oregon
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • P. Navarro
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • L. Arellanes
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • J. Jimenez
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • V. Morales
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • H. Quiroz-Mercado
    Retina, Asociacion Para Evitar La Ceguera En Mexico, Mexico, Mexico
  • Footnotes
    Commercial Relationships  J. Diaz-Rubio, None; A. Lorenzo, None; V. Kon, None; M. Torres, None; E. Oregon, None; P. Navarro, None; L. Arellanes, None; J. Jimenez, None; V. Morales, None; H. Quiroz-Mercado, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 2111. doi:https://doi.org/
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    • Get Citation

      J. Diaz-Rubio, A. Lorenzo, V. Kon, M. Torres, E. Oregon, P. Navarro, L. Arellanes, J. Jimenez, V. Morales, H. Quiroz-Mercado; Retinal Detachment After Viral Retinal Necrosis. Invest. Ophthalmol. Vis. Sci. 2008;49(13):2111. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To determine the etiology of retinal detachment, and to evaluate the results of laser photocoagulation, surgical procedure and visual outcome in the treatment of retinal detachment secondary of viral retinitis at our Hospital.

Methods: : We retrospectively reviewed the cases with diagnosis of viral retinitis in the Retina and Uveitis departments.

Results: : We retrospectively reviewed 84 eyes with diagnosis of viral retinis. Etiology was NRA in 33 eyes, PORN in 7 eyes and CMV in 44 eyes. PORN group had the highest rate of detachment and CMV the lowest. 14 eyes were treated with prophylactic laser. Each lesion was completely surrounded with a double or triple row of laser spots. We observed 35% of retinal detachment in eyes with prophylactic laser and in 27% in eyes without prophylactic laser. Vitrectomy and silicone oil tamponade were performed on 11 cases. Scleral buckling was performed on 3 eyes. Retinal detachment was observed in 62% of eyes without scleral buckling; and 33% of eyes that underwent this procedure. Despite the anatomical success of surgery, the visual outcome was not encouraging, with only 20% of eyes achieving a final visual acuity of 20/200 or better. Mean follow-up period was 7+/- 12 months.

Conclusions: : Cytomegalovirus retinitis is the most frecuent etiology of viral retinitis in our hospital. Prophylactic laser photocoagulation does not seem to reduce the rate of retinal detachment in our patients. Vitrectomy and scleral buckling could be a treatment option as the initial surgical procedure. Poor visual acuity must be due to optic atrophy and macular scar.

Keywords: retinitis • retinal detachment • vitreoretinal surgery 
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