Complete Visual Rehabilitation in a Patient with Complicated CMV Retinitis and Macular Involvement
Keywords:
HIV, CMV Retinitis, Retinal DetachmentAbstract
Introduction: There have been many reports in the literature demonstrating successful restoration of ocular anatomy post pars Plana Vitrectomy (PPV) in patients with cytomegalovirus (CMV) retinitis induced retinal detachment. We aim to report a rare case of complete visual rehabilitation with best corrected visual acuity (BCVA) reaching 20/20 post PPV in a patient with complicated CMV retinitis and macular involvement.Case presentation: We present a case of a 45-year-old Lebanese male patient with newly diagnosed human immunodeficiency virus (HIV) infection. Findings suggestive of CMV retinitis bilaterally were found on fundus examination. Appropriate systemic and intravitreal treatment was started. At 4 months follow up, patient developed a secondary retinal detachment in left eye (OS) and surgery was performed (PPV with silicone oil and scleral buckle) after a latency of 3 weeks. Patient had a smooth recovery with BCVA reaching 20/20 after silicone oil removal.Conclusion: HIV patients with macula-off retinal detachment post CMV retinitis may retain BCVA of 20/20 even with delayed surgical procedure. Close follow up and appropriate timely interventions play important role for improved final outcomes.
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