Abstract:
PURPOSE:To identify and describe long-term posterior and anterior segment complications of immune recovery uveitis in patients with inactive cytomegalovirus retinitis who are undergoing highly active antiretroviral therapy-mediated recovery of immune function. METHODS:A prospective cohort study at a university medical center. Twenty-nine eyes of 21 patients with immune recovery uveitis and inactive cytomegalovirus retinitis were followed for 14.5 to 116 weeks (median, 43 weeks) after diagnosis of immune recovery uveitis. RESULTS:Nine eyes of nine patients developed visually important complications involving the posterior segment, anterior segment, or a combination of both. Posterior segment complications included severe proliferative vitreoretinopathy in three eyes and spontaneous vitreous hemorrhage from avulsion of a blood vessel secondary to contraction of the inflamed vitreous in one eye. Proliferative vitreoretinopathy recurred in all cases after surgery, severely compromising the visual outcome. Anterior segment complications included posterior subcapsular cataracts with vision decrease in five eyes and persistent anterior chamber inflammation after cataract extraction, resulting in posterior synechiae and large visually important lens deposits in three eyes. CONCLUSION:Persistent inflammation in immune recovery uveitis may lead to vision-threatening complications, such as proliferative vitreoretinopathy, posterior subcapsular cataracts, and severe postoperative inflammation. Immune recovery uveitis is a chronic inflammatory syndrome that may result in complications months to years after the onset of inflammation.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Karavellas MP,Song M,Macdonald JC,Freeman WRdoi
10.1016/s0002-9394(00)00528-6subject
Has Abstractpub_date
2000-07-01 00:00:00pages
57-64issue
1eissn
0002-9394issn
1879-1891pii
S0002939400005286journal_volume
130pub_type
杂志文章abstract:PURPOSE:To define the epidemiology of severe ocular trauma in Singapore. METHODS:A population-based incidence study involving all Singapore citizens and residents. Two government-administered databases were used to capture information on severe ocular trauma in Singapore. The national hospital discharge database provi...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1999-09-01 00:00:00
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journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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更新日期:2001-05-01 00:00:00
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更新日期:2008-06-01 00:00:00
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journal_title:American journal of ophthalmology
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doi:10.1016/j.ajo.2004.11.047
更新日期:2005-06-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1985-05-15 00:00:00
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pub_type: 杂志文章
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更新日期:1996-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-10 00:00:00
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更新日期:2009-02-01 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:2004-10-01 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:2006-09-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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