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Cytomegalovirus keratitis.

Samuel C Faith1, Asad F Durrani, Vishal Jhanji

  • 1Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Current Opinion in Ophthalmology
|May 1, 2018
PubMed
Summary
This summary is machine-generated.

Cytomegalovirus (CMV) keratitis can cause severe eye damage. Early diagnosis and treatment, using advanced techniques and clinical judgment, are crucial for managing this infection.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Virology

Background:

  • Cytomegalovirus (CMV) keratitis is an uncommon but severe ocular manifestation of a widespread virus.
  • Prompt diagnosis and effective treatment are often delayed, contributing to significant visual morbidity.

Purpose of the Study:

  • To review recent literature on the epidemiology, pathophysiology, diagnosis, and therapy of CMV keratitis.
  • To highlight advancements in understanding and managing this ocular condition.

Main Methods:

  • Review of recently published scientific literature.
  • Analysis of current diagnostic approaches including PCR, advanced imaging, and genotyping.
  • Evaluation of therapeutic strategies.

Main Results:

  • Elucidation of classic and atypical presentations of CMV keratitis.
  • Advancements in diagnostic tools beyond PCR, incorporating imaging and genotyping.
  • Demonstration of the value of clinical expertise combined with modern technology for rapid diagnosis.

Conclusions:

  • Systemic ganciclovir remains the primary treatment for CMV keratitis.
  • Clinicians should suspect CMV keratitis in patients presenting with keratitis, anterior uveitis, and ocular hypertension.
  • Integrating novel diagnostic techniques with clinical findings is essential for accurate diagnosis, treatment, and monitoring.