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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245199362030061X |
| _version_ | 1818024723869597696 |
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| author | Drew Scoles Michael J. Ammar Robert M. Carroll Stephen E. Orlin Victoria Addis Albert M. Maguire |
| author_facet | Drew Scoles Michael J. Ammar Robert M. Carroll Stephen E. Orlin Victoria Addis Albert M. Maguire |
| author_sort | Drew Scoles |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-10T04:04:45Z |
| format | Article |
| id | doaj.art-19f0db31200846849bb576a625a41347 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-10T04:04:45Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-19f0db31200846849bb576a625a413472022-12-22T02:02:53ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-06-0118Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgeryDrew Scoles0Michael J. Ammar1Robert M. Carroll2Stephen E. Orlin3Victoria Addis4Albert M. Maguire5Corresponding author. Scheie Eye Institute, 51 N 39th Street, Philadelphia, PA 19104, United States.; Department of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesPurpose: 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.http://www.sciencedirect.com/science/article/pii/S245199362030061XRetinitisCytomegalovirusAphakia |
| spellingShingle | Drew Scoles Michael J. Ammar Robert M. Carroll Stephen E. Orlin Victoria Addis Albert M. Maguire Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery American Journal of Ophthalmology Case Reports Retinitis Cytomegalovirus Aphakia |
| 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 | Retinitis Cytomegalovirus Aphakia |
| url | http://www.sciencedirect.com/science/article/pii/S245199362030061X |
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