title: Analysis and Outcomes of Cataract Surgery in Patients with Acquired Immunodeficiency Syndrome.
abstract: OBJECTIVE
  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.
authors.affiliation: a National Healthcare Group Eye Institute Tan Tock Seng Hospital , Singapore.
authors.forename: Grace W M
authors.identifier: http://orcid.org/0000-0003-3877-5517
authors.initials: GWM
authors.lastname: Chew
authors.affiliation: a National Healthcare Group Eye Institute Tan Tock Seng Hospital , Singapore.|b Eagle Eye Centre , Mt Alvernia Hospital , Singapore.
authors.forename: Stephen C B
authors.initials: SCB
authors.lastname: Teoh
authors.affiliation: a National Healthcare Group Eye Institute Tan Tock Seng Hospital , Singapore.
authors.forename: Rupesh
authors.initials: R
authors.lastname: Agrawal
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000503:physiopathology; D000328:Adult; D000368:Aged; D018791:CD4 Lymphocyte Count; D002386:Cataract / Q000150:complications* / Q000503:physiopathology; D017726:Cytomegalovirus Retinitis / Q000150:complications / Q000503:physiopathology; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D012846:Singapore; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
keywords: Cataract; HIV/AIDS; complications; cytomegalovirus retinitis; surgery