Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North India

Purpose: To study clinical efficacy of valganciclovir in cytomegalovirus retinitis (CMVR) in human immunodeficiency virus (HIV)-positive-positive patients in a tertiary care clinic in a developing nation. Methods: In a retrospective study, systemic and ocular records of HIV patients suffering from C...

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Main Authors: Ashish Markan, Nikita Gupta, Mohit Dogra, Aman Sharma, Ramandeep Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2472;epage=2475;aulast=Markan
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author Ashish Markan
Nikita Gupta
Mohit Dogra
Aman Sharma
Ramandeep Singh
author_facet Ashish Markan
Nikita Gupta
Mohit Dogra
Aman Sharma
Ramandeep Singh
author_sort Ashish Markan
collection DOAJ
description Purpose: To study clinical efficacy of valganciclovir in cytomegalovirus retinitis (CMVR) in human immunodeficiency virus (HIV)-positive-positive patients in a tertiary care clinic in a developing nation. Methods: In a retrospective study, systemic and ocular records of HIV patients suffering from CMVR and treated with valganciclovir, were analyzed. Primary outcome measures were involvement of the other eye, incidence of retinal detachment, systemic involvement, and mortality encountered. Secondary outcome measures included change in BCVA. Results: Out of nine patients who were included, two patients developed CMVR in the other eye and only one patient (11.11%) developed retinal detachment during the course of the study. No patient developed any systemic manifestations or had mortality during the course of the study. The change in BCVA was not statistically significant. Conclusion: Use of oral valganciclovir showed good outcome and was found to be a better alternative compared to the use of intravitreal ganciclovir in the literature. Introduction of valganciclovir at an affordable price in developing nations can decrease disease burden.
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spelling doaj.art-7d7c87e2e5d14c648f8d8521e3248b552022-12-22T01:53:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017072472247510.4103/ijo.IJO_2787_21Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North IndiaAshish MarkanNikita GuptaMohit DograAman SharmaRamandeep SinghPurpose: To study clinical efficacy of valganciclovir in cytomegalovirus retinitis (CMVR) in human immunodeficiency virus (HIV)-positive-positive patients in a tertiary care clinic in a developing nation. Methods: In a retrospective study, systemic and ocular records of HIV patients suffering from CMVR and treated with valganciclovir, were analyzed. Primary outcome measures were involvement of the other eye, incidence of retinal detachment, systemic involvement, and mortality encountered. Secondary outcome measures included change in BCVA. Results: Out of nine patients who were included, two patients developed CMVR in the other eye and only one patient (11.11%) developed retinal detachment during the course of the study. No patient developed any systemic manifestations or had mortality during the course of the study. The change in BCVA was not statistically significant. Conclusion: Use of oral valganciclovir showed good outcome and was found to be a better alternative compared to the use of intravitreal ganciclovir in the literature. Introduction of valganciclovir at an affordable price in developing nations can decrease disease burden.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2472;epage=2475;aulast=Markanaidscmv retinitisdeveloping nationhivsystemic therapyvalganciclovir
spellingShingle Ashish Markan
Nikita Gupta
Mohit Dogra
Aman Sharma
Ramandeep Singh
Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North India
Indian Journal of Ophthalmology
aids
cmv retinitis
developing nation
hiv
systemic therapy
valganciclovir
title Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North India
title_full Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North India
title_fullStr Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North India
title_full_unstemmed Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North India
title_short Oral valganciclovir in human immunodeficiency virus-positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in North India
title_sort oral valganciclovir in human immunodeficiency virus positive patients suffering from cytomegalovirus retinitis at a tertiary care hospital in north india
topic aids
cmv retinitis
developing nation
hiv
systemic therapy
valganciclovir
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2472;epage=2475;aulast=Markan
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