Our patient shows typical CMV retinitis with active fluffy white hemorrhagic retinitis and vasculitis.
This patient is at high risk for severe vision loss due to both the optic nerve and macular center being threatened.
Immediate intravitreal antiviral injections followed by systemic treatment were recommended.
Learning Points:
Cytomegalovirus retinitis (CMV) is a usually devastating infection most commonly seen in end-stage HIV/AIDS.
Fortunately, this is now rarely seen due to the advent of highly active antiretroviral therapy (HAART) in the mid-1990’s.
CMV retinitis is characterized by confluent hemorrhagic necrosis often following a vascular distribution. Retinal detachments develop in about three-quarters of eyes, especially with more extensive areas of retinitis.
