Dr.RAVINATH GOUD MAREPALLY
Purpose: To report a case of neovascularization of the disk and vitreous hemorrhage associated with cytomegalovirus retinitis in an HIV-positive man on highly active antiretroviral therapy.
Methods: Clinical examination by fellowship-trained retina specialist, including fundus photography and fluorescein angiography.
Results: A 44-year-old HIV-positive man with known history of cytomegalovirus retinitis subsequently developed neovascularization of the disk and vitreous hemorrhage after the initial treatment. This was treated with panretinal photocoagulation and later pars plana vitrectomy with SF6.
Conclusion:
CMV retinitis is a known opportunistic infection in patients with AIDS. Occlusive vasculitis with extensive areas of capillary non perfusion is an unusual presentation of CMV retinitis. Neovascularization of disc may be a manifestation of immune recovery,HIV or CMV
Leave a Comment