Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery

PURPOSE: To report a case of an immunocompetent patient who developed cytomegalovirus (CMV) retinitis after complicated cataract surgery resulting in aphakia. OBSERVATIONS: A 67-year-old man with type 2 diabetes developed retinitis six months after cataract surgery that resulted in aphakia. Anterior...

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Autores principales: Scoles, Drew, Ammar, Michael J., Carroll, Robert M., Orlin, Stephen E., Addis, Victoria, Maguire, Albert M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154989/
https://www.ncbi.nlm.nih.gov/pubmed/32309678
http://dx.doi.org/10.1016/j.ajoc.2020.100702
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author Scoles, Drew
Ammar, Michael J.
Carroll, Robert M.
Orlin, Stephen E.
Addis, Victoria
Maguire, Albert M.
author_facet Scoles, Drew
Ammar, Michael J.
Carroll, Robert M.
Orlin, Stephen E.
Addis, Victoria
Maguire, Albert M.
author_sort Scoles, Drew
collection PubMed
description PURPOSE: To report a case of an immunocompetent patient who developed cytomegalovirus (CMV) retinitis after complicated cataract surgery resulting in aphakia. OBSERVATIONS: A 67-year-old man with type 2 diabetes developed retinitis six months after cataract surgery that resulted in aphakia. Anterior chamber DNA testing was positive for CMV. Comprehensive systemic work-up revealed no immune insufficiency. The retinitis was successfully treated with intravitreal foscarnet and extended oral valgancyclovir treatment, however, he subsequently developed rhegmatogenous retinal detachment. CONCLUSION AND IMPORTANCE: CMV retinitis may occur in immunocompetent patients in the setting of aphakia and prolonged topical steroid use.
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spelling pubmed-71549892020-04-17 Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery Scoles, Drew Ammar, Michael J. Carroll, Robert M. Orlin, Stephen E. Addis, Victoria Maguire, Albert M. Am J Ophthalmol Case Rep Case Report PURPOSE: To report a case of an immunocompetent patient who developed cytomegalovirus (CMV) retinitis after complicated cataract surgery resulting in aphakia. OBSERVATIONS: A 67-year-old man with type 2 diabetes developed retinitis six months after cataract surgery that resulted in aphakia. Anterior chamber DNA testing was positive for CMV. Comprehensive systemic work-up revealed no immune insufficiency. The retinitis was successfully treated with intravitreal foscarnet and extended oral valgancyclovir treatment, however, he subsequently developed rhegmatogenous retinal detachment. CONCLUSION AND IMPORTANCE: CMV retinitis may occur in immunocompetent patients in the setting of aphakia and prolonged topical steroid use. Elsevier 2020-04-06 /pmc/articles/PMC7154989/ /pubmed/32309678 http://dx.doi.org/10.1016/j.ajoc.2020.100702 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Scoles, Drew
Ammar, Michael J.
Carroll, Robert M.
Orlin, Stephen E.
Addis, Victoria
Maguire, Albert M.
Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
title Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
title_full Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
title_fullStr Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
title_full_unstemmed Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
title_short Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
title_sort cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154989/
https://www.ncbi.nlm.nih.gov/pubmed/32309678
http://dx.doi.org/10.1016/j.ajoc.2020.100702
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