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Case report: CMV retinitis following local and systemic immunosuppression
Bryant A Menke1, William Wagner2, Helen Song1
1Department of Ophthalmology, Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha, NE, United States.
Frontiers in Ophthalmology
|July 10, 2024
Summary
A renal transplant patient developed cytomegalovirus retinitis after a dexamethasone implant. Treatment with intravitreal foscarnet and oral valganciclovir led to disease regression and stable vision.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Transplantation Medicine
Background:
- Cytomegalovirus (CMV) retinitis is a serious ocular complication, particularly in immunocompromised individuals.
- Intravitreal steroid implants, like dexamethasone, are used for various retinal conditions but can potentially increase infection risk.
- Renal transplant recipients are at higher risk for opportunistic infections, including CMV disease.
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