A CASE OF CYTOMEGALOVIRUS RETINITIS WITH CONCURRENT RETINAL DETACHMENT

Title A CASE OF CYTOMEGALOVIRUS RETINITIS WITH CONCURRENT RETINAL DETACHMENT
Author, Co-Author John Sharpe
Topic
Year
2002
Day
Program Number
Poster 77
Room
Affiliation
Abstract BACKGROUND: Cytomegalovirus (CMV) retinitis has gone from a clinical rarity, seldom observed prior to 1982 to one of the most common causes of infectious retinitis in the world today. With advances in HIV therapy, infected patients are now living longer with AIDS and CMV retinitis. As a result of this increased longevity, retinal detachment is now becoming a common complication of CMV retinitis. Optometrists must be prepared to diagnose and properly manage these cases within their clinical practices.

CASE REPORT: A 48 year old male presented for an evaluation of loss of vision in the right eye. The patient reported flashes of light OD of 5 weeks duration, and noticed loss of vision OD within the past week. Medical history was positive for HIV infection and was taking 5 different HIV medications. Best visual acuity measured OD: LP and OS: 20/20-. Biomicroscopy revealed OD: 2+ anterior chamber cells and flare. OS: Trace anterior chamber cell and flare. Indirect ophthalmoscopy revealed OD: Vitreal cells and floaters, retinal hemorrhage with massive exudation, and virtually total retinal detachment with only the nasal retina remaining attached. OS: Unremarkable.

CONCLUSIONS: A diagnosis of active CMV retinitis with concurrent retinal detachment OD was made. The patient was immediately referred for a vitreal/retinal consultation and possible surgical intervention.

ADDITIONAL COMMENTS: None
Affiliation of Co-Authors
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