CMV Retinitis

 CMV Retinitis


What’s the meaning of CMV Retinitis?

·        Cytomegalovirus (CMV) virus may be infecting retina and potentially irreversible vision loss due to retinal detachment and destruction.

The retina is visual sensitive back portion of the eye. The retina contains the light sensitive cells in eye, mainly two types rode and cone cells. Rode cells required for night/low light vision and cone cells required for color vision. This retina infection caused human cytomegalovirus. It occurs predominantly immune system compromised peoples. This infection caused to retinal detachment and destruction. After that lead to irreversible vision loss/blindness.

Signs and symptoms

·        CMV Retinitis usually starting in one eye.

a)     Blare vision

b)     Blind spot

c)     Tiny/small spot or specks in vision.

d)     Floaters or flashes in the eye

e)     Loss of peripheral vision

Cause

Main caused weak immune system or cellular immune status compromised led to virus reactive and spread in retina. Cytomegalovirus is a type of herpes virus led to cytomegalovirus (CMV) Retinitis and also cause congenital. Most affected in adult ages person. This virus reactive in body like as leukemia, HIV/AIDS (acquired immunodeficiency syndrome) and immunosuppressive chemotherapy.

Cytomegalovirus caused infection is lead to retina cells necrosis or retina may be atrophy.

Transmission occurs via infection body fluid, blood or transplanted organs.

It may be affected in normal heathy person after intravitreal steroid therapy cause local immune suppression.

treatment

There are at least 8 options for therapy of CMV retinitis.

Oral valganciclovir

Intravenous ganciclovir

Intravenous foscarnet

Intravenous Cidofovir

Intraocular ganciclovir device

Intravitreal ganciclovir

Oral leflunomide

Oral letermovir

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