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Cytomegalovirus retinitis in an immunocompetent host after complicated cataract surgery
Drew Scoles1, Michael J Ammar1, Robert M Carroll1
1Department of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
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.
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