Open AccessMacular cytomegalovirus retinitis following dexamethasone intravitreal implant combined with phacoemulsification
Author(s) -
Mohit Dogra,
Vikash Rohilla,
Mangat R Dogra,
Ramandeep Singh
Publication year - 2018
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_171_18
Subject(s) - medicine , cytomegalovirus retinitis , ganciclovir , retinitis , ophthalmology , phacoemulsification , visual acuity , dexamethasone , implant , macular edema , cytomegalovirus , surgery , herpesviridae , human cytomegalovirus , human immunodeficiency virus (hiv) , viral disease , virology , virus
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.