Purpose: To study epidemiology and clinical findings of cataract in HIV+ patients.
Methods: A total of 32 HIV+ patients, 11 with uveitis/retinitis before surgery and 21 without, mean follow-up 44.9 ± 36.6 months, and 114 HIV- patients, 57 with uveitis/retinitis before surgery and 57 without, were retrospectively compared.
Results: Visual acuity improved in all HIV+ patients (p < 0.001), who were younger (p = 0.01) and more frequently males (p = 0.027). HIV+ patients with uveitis prior surgery improved less (p = 0.046) than HIV- (p < 0.001); their anterior chamber inflammation was similar to baseline. Male sex (p = 0.005), younger age (p < 0.001), dyslipidaemia (p = 0.058), HBV+ (p = 0.037), and unilateral cataract (p = 0.001) were more frequent in HIV+ patients with senile cataract, but they showed the same postoperative course as HIV- patients.
Conclusion: Cataract surgery in HIV+ patients is safe and effective. Uveitis prior to surgery did not significantly affect the postoperative course. Systemic comorbidities are more frequent in HIV+ patients with senile cataract than in HIV- subjects. 相似文献
We compared the Acrysoft monofocal intraocular lens (IOL) in the mini monovision formula (n = 20) with the Array multifocal intraocular lens (n = 20) for glasses independence after cataract surgery. The Acrysoft monofocal IOL group showed similar and even slightly
better results than the Array multifocal IOL group. The monofocal Acrysoft IOL using the mini monovision (blended vision)
formula is a good alternative for providing post-cataract surgery glasses independence.
Drs. Chen, Clinical Assistant Professor of Ophthalmology and Neal H. Atebara are at University of Hawaii School of Medicine,
Honolulu, Hawaii, USA.
Dr. Te Tsaw Chen, Past Professor & Director, was at Department of Ophthalmology, Taipei Medical University, Taipei, ROC.
The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer
or provider of services discussed in this article. The authors also do not discuss the use of off-label products, which includes
unlabeled, unapproved, or investigative products or devices.
The authors compared the Acrysoft monofocal intraocular lens in the mini monovision formula to the Array multifocal intraocular
lens for glasses independence after cataract surgery. 相似文献