Spontaneous Resolution of Intravitreal Steroid-Induced Bilateral Cytomegalovirus Retinitis
Korean Journal of Ophthalmology
;
: 151-155, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-40413
ABSTRACT
A 73-year-old woman underwent vitrectomy and intravitreal triamcinolone acetonide (IVTA) of the right eye and cataract surgery with IVTA of the left eye, for bilateral diabetic macular edema. The patient presented with visual loss in both eyes three-months postoperatively. The fundoscopic examination revealed white-yellow, necrotic peripheral lesions in the superotemporal quadrant of both eyes. Although bilateral acute retinal necrosis was suspected, azotemia resulting from diabetic nephropathy limited the use of acyclovir. Antiviral treatment was not started. A sample of the aqueous humor for polymerase chain reaction (PCR) analysis was obtained. One week later, the PCR results indicated the presence of cytomegalovirus (CMV). Since the retinal lesions did not progress and did not threaten the macula, the patient was followed without treatment for CMV. The retinal lesions progressively regressed and completely resolved in both eyes by six months of follow-up. Patients with IVTA-induced CMV retinitis may not require systemic treatment with ganciclovir.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Remisión Espontánea
/
Esteroides
/
Vitrectomía
/
Infecciones Oportunistas
/
Triamcinolona Acetonida
/
Extracción de Catarata
/
Retinitis por Citomegalovirus
/
Retinopatía Diabética
/
Inyecciones Intravítreas
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Ophthalmology
Año:
2012
Tipo del documento:
Artículo
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