Analysis and Outcomes of Cataract Surgery in Patients with Acquired Immunodeficiency Syndrome.
PURPOSE
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.
['Chew|Grace W M|GWM|http://orcid.org/0000-0003-3877-5517', 'Teoh|Stephen C B|SCB|', 'Agrawal|Rupesh|R|']
D000163:Acquired Immunodeficiency Syndrome D000328:Adult D000368:Aged D018791:CD4 Lymphocyte Count D002386:Cataract D017726:Cytomegalovirus Retinitis D005260:Female D006801:Humans D007431:Intraoperative Complications D019654:Lens Implantation, Intraocular D008297:Male D008875:Middle Aged D018918:Phacoemulsification D011183:Postoperative Complications D019591:Pseudophakia D012189:Retrospective Studies D012846:Singapore D062606:Tertiary Care Centers D016896:Treatment Outcome D014792:Visual Acuity
Cataract surgery complications HIV/AIDS cytomegalovirus retinitis