Rhegmatogenous retinal detachments are common complications of necrotizing infections of the retina, including cytomegalovirus (CMV) retinopathy in patients with acquired immunodeficiency syndrome (AIDS). As the length of survival of patients with AIDS increases, and as we improve our ability to control CMV retinopathy with new antiviral drugs, attention has been focused on the appropriate management of these retinal detachments. The article by Jabs and associates1 in this issue of the Archives is a major contribution to the literature addressing this important problem.
Issues of concern extend far beyond the techniques of repair of CMV retinopathy. They include risk factors, indications for surgical referral, and expected outcomes. The severity of AIDS and the high mortality of patients with AIDS and CMV retinopathy must be considered in planning the management of these retinal detachments. It is on these issues, which should concern all ophthalmologists, that I will concentrate.
Cytomegalovirus retinopathy is
Holland GN. The Management of Retinal Detachments in Patients With Acquired Immunodeficiency Syndrome. Arch Ophthalmol. 1991;109(6):791-793. doi:10.1001/archopht.1991.01080060055023