Overview
Definition
Viral infection of the retina in severely immunocompromised patients.
Epidemiology
Varies globally depending on genetics, environment, or exposure.
Etiology & Risk Factors
- CMV reactivation (CD4 < 50 in HIV).
Clinical Symptoms
- Painless progressive vision loss
- floaters
- 'pizza pie' retinopathy (hemorrhages and exudates).
Clinical Approach
Diagnosis
- Fundoscopy
- PCR.
Management
- Ganciclovir
- Valganciclovir
- ART (for HIV).
Complications
- Retinal detachment
- blindness.