B25.8
DESCRIPTION
Characteristic appearance: opacification of the retina with areas of haemorrhage, exudate and necrosis.
Occurs in immunocompromised patients and could be an important cause of visual impairment in HIV infected patients.
DIAGNOSTIC CRITERIA
- Confirm retinitis with ophthalmological assessment.
- Confirm CMV disease with DNA PCR.
MEDICINE TREATMENT
- Ganciclovir, intravitreal, 2 mg once a week (Opthalmologist treatment).
Once immune function has been restored with antiretroviral therapy, i.e. CD4 > 100 cells/mm3, maintenance ganciclovir can be stopped but monitor for recurrence.
REFERRAL
- All patients to confirm diagnosis and manage treatment.