Ver el código de «CMV retinitis»

==Background==
*Most frequent and serious ocular OI
*Leading cause of blindness in AIDS pts
*Typically occurs with CD4 less than 50

==Diagnosis==
[[File:Fundus photograph-CMV retinitis EDA07.jpg|thumb|Fundus photograph of CMV retinitis]]
*Signs/symptoms are variable; may include:
**Change in visual acuity
**Visual field cuts (Scotomas, loss of central vision)
**Floaters, flashing lights
**Photophobia
**Eye redness/pain

==Differential Diagnosis==
{{Acute onset flashers and floaters DDX}}

==Treatment==
{{CMV retinitis treatment}}

==Complications==
*Retinal detachment
*Complete Vision loss
*CMV Immune Recovery Uveitis (IRU)
**Patients with retinitis who develop blurry vision after starting HART need ophtho eval to assess for CMV progression, relapse, or IRU
**Possible cause -  T-cell mediated immune reconstitution to latent CMV intraocular antigens
**Symptoms - Floaters, photophobia, blurred vision
**Occurs median 20 weeks after starting HART
**Urgent ophtho eval

==See Also==
*[[HIV - AIDS (Main)]]
*[[HIV (Overview)]]
*[[CMV esophagitis]]
*[[CMV colitis]]
*[[CMV pneumonia]]

==Source==
*Tintinalli
*UpToDate - "Pathogenesis, clinical manifestations, and diagnosis of AIDS-related cytomegalovirus retinitis"

[[Category:ID]]
[[Category:Ophtho]]