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Cytomegalovirus retinitis following dexamethasone intravitreal implant

PURPOSE: To describe a case of Cytomegalovirus (CMV) Retinitis in an immunocompetent patient following Dexamethasone Intravitreal Implant (DII). OBSERVATIONS: Retrospective chart review of a single patient. An 80-year-old immunocompetent male presented with floaters in his left eye 10 weeks after hi...

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Detalles Bibliográficos
Autores principales: Chaudhry, Sarah G., Fung, Adrian T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944023/
https://www.ncbi.nlm.nih.gov/pubmed/33732951
http://dx.doi.org/10.1016/j.ajoc.2021.101055
Descripción
Sumario:PURPOSE: To describe a case of Cytomegalovirus (CMV) Retinitis in an immunocompetent patient following Dexamethasone Intravitreal Implant (DII). OBSERVATIONS: Retrospective chart review of a single patient. An 80-year-old immunocompetent male presented with floaters in his left eye 10 weeks after his DII. He was noted to have a visual acuity of 20/1200 in his left eye and a panuveitis with CMV retinitis. The patient underwent a vitreous biopsy and given immediate intravitreal foscarnet and an ongoing management regimen of oral valganciclovir for two months. His vision improved to 20/200 and his CMV retinitis resolved. CONCLUSION AND IMPORTANCE: DII can trigger CMV retinitis in immunocompetent patients.