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Cytomegalovirus retinitis following dexamethasone intravitreal implant. | LitMetric

Cytomegalovirus retinitis following dexamethasone intravitreal implant.

Am J Ophthalmol Case Rep

Westmead Hospital, Westmead, Sydney, New South Wales, Australia.

Published: June 2021

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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944023PMC
http://dx.doi.org/10.1016/j.ajoc.2021.101055DOI Listing

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