Rhegmatogenous retinal detachments in HIV-positive patients with ocular syphilis.
Rhegmatogenous retinal detachments in HIV-positive patients with ocular syphilis.
复制标题
HIV 阳性眼梅毒患者的孔源性视网膜脱离。
DOI：
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发表时间：
1996
期刊：
影响因子：
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通讯作者：
W. Freeman
中科院分区：
文献类型：
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作者：
J. Williams;L. Kirsch;V. Russack;W. Freeman
本研究的目的是报告人类免疫缺陷病毒（HIV）阳性患者的视网膜表现，并提出一种治疗这些患者孔源性视网膜脱离的方法。两名艾滋病毒阳性患者双侧视网膜炎进行了检查和治疗，在作者的机构为期14个月。临床诊断为眼梅毒，经脑脊液血清学检测确诊，并静脉注射青霉素治疗。两名患者在活动性视网膜炎消退后均发生双侧孔源性视网膜脱离并发增生性玻璃体视网膜病变。所有4只眼均接受了经睫状体平坦部玻璃体切除术、视网膜前膜分层、气液交换、眼内激光、巩膜扣带术和硅油灌注的手术修复。眼梅毒作为HIV阳性患者视网膜脱离的一个原因的认识是重要的。及时采取适当的医疗和手术治疗可能会保护这些患者的视力。
The purpose of this study is to report retinal manifestations of lues in human immunodeficiency virus (HIV)-positive patients and to suggest a method for treatment of rhegmatogenous retinal detachments in these patients. Two HIV-positive patients with bilateral retinitis were examined and treated at the authors' institution for a period of 14 months. Ocular syphilis was diagnosed clinically, confirmed by cerebrospinal fluid serologic testing, and treated with intravenous penicillin. Both patients experienced bilateral rhegmatogenous retinal detachments complicated by proliferative vitreoretinopathy after resolution of the active retinitis. All four eyes underwent surgical repair with trans pars plana vitrectomy, epiretinal membrane delamination, gas-fluid exchange, endolaser, scleral buckle, and silicone oil instillation. The recognition of ocular syphilis as a cause of retinal detachment in HIV-positive patients is important. Prompt intervention with the appropriate medical and surgical treatments may result in the preservation of vision in these patients.