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- Title
Macular cytomegalovirus retinitis following dexamethasone intravitreal implant combined with phacoemulsification.
- Authors
Dogra, Mohit; Rohilla, Vikash; Dogra, Mangat; Singh, Ramandeep
- Abstract
A 60-year-old diabetic patient, who had undergone a renal transplant 2 years earlier, presented with sudden decrease in vision in his left eye (LE). He had undergone phacoemulsification combined with intravitreal dexamethasone implant injection in his LE 2 months earlier, for coexistent cataract and diabetic macular edema. Examination revealed necrotizing retinitis with hemorrhages in the macula. A diagnosis of cytomegalovirus retinitis was made, which was confirmed on vitreous polymerase chain reaction. Intravitreal and systemic ganciclovir led to the resolution of retinitis and improvement of visual acuity over a follow-up of 9 months.
- Subjects
CYTOMEGALOVIRUS diseases; CYTOMEGALOVIRUSES; HERPESVIRUSES; CATARACT surgery; PHACOEMULSIFICATION; CONTROLLED release drugs; DIABETIC retinopathy; GLUCOCORTICOIDS; RETINAL degeneration; VISUAL acuity; DEXAMETHASONE; CYTOMEGALOVIRUS retinitis; VIRAL eye infections; DIAGNOSIS
- Publication
Indian Journal of Ophthalmology, 2018, Vol 66, Issue 9, p1361
- ISSN
0301-4738
- Publication type
case study
- DOI
10.4103/ijo.IJO_171_18