The use of pneumatic retinopexy to delay surgical repair of a retinal detachment associated with the ganciclovir intraocular device.
Rhegmatogenous retinal detachments are associated with cytomegalovirus (CMV) retinitis and the use of the ganciclovir intraocular device. Pars plana vitrectomy with silicone oil tamponade is the preferred technique to repair such detachments. The authors describe the use of pneumatic retinopexy as part of a treatment strategy in the management of multiple retinal detachments in a patient with CMV retinitis treated with ganciclovir implants. Pneumatic retinopexy may benefit patients when the causative retinal break is superior and is located in an area of retina uninvolved with CMV infection, because it can be used to delay surgical intervention.
McAuliffe
P F
PF
Department of Ophthalmology, New York Hospital-Cornell Medical Center, NY 10021, USA.
Heinemann
M H
MH
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy; D000998:Antiviral Agents / Q000627:therapeutic use*; D003452:Cryosurgery; D017726:Cytomegalovirus Retinitis / Q000188:drug therapy; D004343:Drug Implants / Q000009:adverse effects*; D005654:Fundus Oculi; D015774:Ganciclovir / Q000627:therapeutic use*; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D012167:Retinal Perforations / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity; D014821:Vitrectomy
D000998:Antiviral Agents; D004343:Drug Implants; D015774:Ganciclovir