CMV retinitis - Revision history

Rossdonaldson1 at 17:18, 25 January 2023

2023-01-25T17:18:12Z

← Revisión anterior		Revisión del 17:18 25 ene 2023
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	*Typically occurs with CD4 less than 50		*Typically occurs with CD4 less than 50

			==Clinical Features==
	[[File:Fundus photograph-CMV retinitis EDA07.jpg\|thumb\|Fundus photograph of CMV retinitis]]		[[File:Fundus photograph-CMV retinitis EDA07.jpg\|thumb\|Fundus photograph of CMV retinitis]]

	~~==Clinical Features==~~
	*Variable, but may include:		*Variable, but may include:
	**Change in visual acuity, [[visual loss]]		**Change in visual acuity, [[visual loss]]

2019-10-06T21:46:04Z

Clinical Features

← Revisión anterior		Revisión del 21:46 6 oct 2019
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	*Variable, but may include:		*Variable, but may include:
	**Change in visual acuity, [[visual loss]]		**Change in visual acuity, [[visual loss]]
	**Visual field cuts (Scotomas, loss of central vision)		**[[visual field defects\|Visual field cuts]] (Scotomas, loss of central vision)
	**[[Floaters]], flashing lights		**[[Floaters]], flashing lights
	**Photophobia		**Photophobia

2019-10-05T16:21:25Z

← Revisión anterior		Revisión del 16:21 5 oct 2019
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	==Background==		==Background==
	*Most frequent and serious ocular opportunistic infection		*Most frequent and serious ocular opportunistic infection
	*Leading cause of blindness in AIDS patients		*Leading cause of blindness in [[AIDS]] patients
	*Typically occurs with CD4 less than 50		*Typically occurs with CD4 less than 50

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	**[[Floaters]], flashing lights		**[[Floaters]], flashing lights
	**Photophobia		**Photophobia
	**[[Eye pain]]/redness		*[[Fundoscopy]]:
			**Fluffy white perivascular lesions
			**Dirty white granular retinal necrosis
			**Adjacent hemorrhage - "Pizza pie" appearance

			**[[Eye pain]]/[[red eye\|redness]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	*CD4 typically < 50 cells/mm³		*CD4 typically < 50 cells/mm³
	*Fundoscopy:
	**Fluffy white perivascular lesions
	**Dirty white granular retinal necrosis
	**Adjacent hemorrhage - "Pizza pie" appearance

	==Management==		==Management==

2018-01-23T00:39:50Z

Disposition

2018-01-23T00:39:14Z

Complications

← Revisión anterior		Revisión del 00:39 23 ene 2018
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	*[[Retinal detachment]]		*[[Retinal detachment]]
	*Complete [[vision loss]]		*Complete [[vision loss]]
			**Despite treatment, 10% lose vision
	*CMV Immune Recovery Uveitis (IRU)		*CMV Immune Recovery Uveitis (IRU)
	**Patients with retinitis who develop blurry vision after starting HAART need ophtho eval to assess for CMV progression, relapse, or IRU		**Patients with retinitis who develop blurry vision after starting HAART need ophtho eval to assess for CMV progression, relapse, or IRU

2018-01-23T00:38:59Z

Disposition

← Revisión anterior		Revisión del 00:38 23 ene 2018
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	==Disposition==		==Disposition==
	*~~Despite treatment, 10% lose vision~~		*Admit for IV antivirals

	==See Also==		==See Also==

2017-02-26T00:06:48Z

Complications

← Revisión anterior		Revisión del 00:06 26 feb 2017
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	==Complications==		==Complications==
	*Retinal detachment		*[[Retinal detachment]]
	*Complete ~~Vision~~ loss		*Complete [[vision loss]]
	*CMV Immune Recovery Uveitis (IRU)		*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		**Patients with retinitis who develop blurry vision after starting HAART need ophtho eval to assess for CMV progression, relapse, or IRU
	**Possible cause - T-cell mediated immune reconstitution to latent CMV intraocular antigens		**Possible cause - T-cell mediated immune reconstitution to latent CMV intraocular antigens
	**Symptoms - Floaters, photophobia, blurred vision		**Symptoms - Floaters, photophobia, blurred vision

2017-02-26T00:05:26Z

Clinical Features

← Revisión anterior		Revisión del 00:05 26 feb 2017
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	==Clinical Features==		==Clinical Features==
	*Variable, but may include:		*Variable, but may include:
	**Change in visual acuity		**Change in visual acuity, [[visual loss]]
	**Visual field cuts (Scotomas, loss of central vision)		**Visual field cuts (Scotomas, loss of central vision)
	**Floaters, flashing lights		**[[Floaters]], flashing lights
	**Photophobia		**Photophobia
	**Eye redness~~/pain~~		**[[Eye pain]]/redness

	==Differential Diagnosis==		==Differential Diagnosis==

2016-07-24T12:41:10Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-06-21T16:49:46Z

Text replacement - " pts" to " patients"

← Revisión anterior		Revisión del 16:49 21 jun 2016
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	==Background==		==Background==
	*Most frequent and serious ocular opportunistic infection		*Most frequent and serious ocular opportunistic infection
	*Leading cause of blindness in AIDS ~~pts~~		*Leading cause of blindness in AIDS patients
	*Typically occurs with CD4 less than 50		*Typically occurs with CD4 less than 50