Grace W M Chew1, Stephen C B Teoh1,2, Rupesh Agrawal1. 1. a National Healthcare Group Eye Institute Tan Tock Seng Hospital , Singapore. 2. b Eagle Eye Centre , Mt Alvernia Hospital , Singapore.
Abstract
PURPOSE: To investigate the surgical outcomes, complications and postoperative progression in HIV patients undergoing cataract surgery in a teaching hospital. METHODS: A retrospective cohort study of patients with HIV/AIDS who had cataract surgery from January 2000 until December 2011 at a tertiary referral multidisciplinary hospital in Singapore. RESULTS: We identified 44 eyes from 29 patients. Preoperatively, 41.3% had no ophthalmic manifestations of HIV/AIDS, while 16 eyes had quiescent cytomegalovirus retinitis (CMVR). Postoperatively, 1 eye developed new CMVR, while 1 eye had reactivation of previous CMVR. Of eyes with new or previous CMVR, 1 eye developed rhegmatogenous retinal detachment (RD) postoperatively. Only 3 eyes had prolonged postoperative inflammation. There were no cases of endophthalmitis or cystoid macular edema. Postoperative improvement of at least two Snellen lines was achieved in 86.6% of eyes. CONCLUSIONS: Cataract surgery in HIV patients is generally safe, regardless of CD4 count, but their general and ocular health should be optimized preoperatively.
PURPOSE: To investigate the surgical outcomes, complications and postoperative progression in HIVpatients undergoing cataract surgery in a teaching hospital. METHODS: A retrospective cohort study of patients with HIV/AIDS who had cataract surgery from January 2000 until December 2011 at a tertiary referral multidisciplinary hospital in Singapore. RESULTS: We identified 44 eyes from 29 patients. Preoperatively, 41.3% had no ophthalmic manifestations of HIV/AIDS, while 16 eyes had quiescent cytomegalovirus retinitis (CMVR). Postoperatively, 1 eye developed new CMVR, while 1 eye had reactivation of previous CMVR. Of eyes with new or previous CMVR, 1 eye developed rhegmatogenous retinal detachment (RD) postoperatively. Only 3 eyes had prolonged postoperative inflammation. There were no cases of endophthalmitis or cystoid macular edema. Postoperative improvement of at least two Snellen lines was achieved in 86.6% of eyes. CONCLUSIONS:Cataract surgery in HIVpatients is generally safe, regardless of CD4 count, but their general and ocular health should be optimized preoperatively.
Entities:
Keywords:
Cataract; HIV/AIDS; complications; cytomegalovirus retinitis; surgery
Authors: Carter S Tisdale; Grant A Justin; Xun Wang; Xiuping Chu; Darrel K Carlton; Jason F Okulicz; Christina Schofield; Ryan C Maves; Brian K Agan; Gary L Legault Journal: J Cataract Refract Surg Date: 2019-10-01 Impact factor: 3.351