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Cytomegalovirus retinitis after multiple ocular surgeries in an immunocompetent patient
Koji Toriyama1, Takashi Suzuki, Yuko Hara
1Department of Ophthalmology, Ehime University School of Medicine, Toon, Japan.
Purpose:
To describe the case of a 74-year-old man who developed cytomegalovirus (CMV) retinitis after multiple ocular surgeries.
Methods:
Observational case report.
Results:
A 74-year-old man who had a history of multiple ocular surgeries developed unilateral retinitis with whitening of the entire peripheral retina. A presumptive diagnosis of viral retinitis was considered, and polymerase chain reaction of the aqueous fluid was positive for CMV DNA. Laboratory examination revealed that the patient was completely immunocompetent. Moreover, the patient did not have any subtenon or intravitreal injection of triamcinolone acetonide (TA). The patient responded well to intravenous ganciclovir and oral valganciclovir.
Conclusion:
CMV retinitis can occur to immunocompetent patients without local immunosuppression with TA injection.
