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Journal of Clinical Case Studies and Reviews

ISSN: 2766-9556

Case Report Open Access

Complete Visual Rehabilitation in a Patient with Complicated CMV Retinitis and Macular Involvement

Jad G Ayash1, Charbel H Wahab1, Fady K Sammouh2, Elias L Warrak3,*
  • 1Department of Ophthalmology and Visual Sciences, University of Balamand, Lebanon
  • 2Advanced Eye Care Hospital, Beirut Lebanon
  • 3Department of Ophthalmology, Saint-George Hospital, University Medical Center, Beirut, Lebanon
+ Affiliations - Affiliations

Corresponding Author

Elias L Warrak,advancedeyecare.ew@gmail.com

Received Date: April 13, 2021

Accepted Date: May 10, 2021

Citation:

Ayash JB, Wahab CH, Sammouh FK and Warrak EL. “Complete Visual Rehabilitation in a Patient with Complicated CMV Retinitis and Macular Involvement.” J Clin Case Stud (2021): 009 doi:10.47755/2766-9556.100109


Copyright: © 2021 Ayash JG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: There have been many reports in the literature demonstrating successful restoration of ocular anatomy post pars Plana Vitrectomy (PPV) in
patients with cytomegalovirus (CMV) retinitis induced retinal detachment. We aim to report a rare case of complete visual rehabilitation with best corrected visual
acuity (BCVA) reaching 20/20 post PPV in a patient with complicated CMV retinitis and macular involvement.
Case presentation: We present a case of a 45-year-old Lebanese male patient with newly diagnosed human immunodeficiency virus (HIV) infection. Findings
suggestive of CMV retinitis bilaterally were found on fundus examination. Appropriate systemic and intravitreal treatment was started. At 4 months follow up,
patient developed a secondary retinal detachment in left eye (OS) and surgery was performed (PPV with silicone oil and scleral buckle) after a latency of 3 weeks.
Patient had a smooth recovery with BCVA reaching 20/20 after silicone oil removal.
Conclusion: HIV patients with macula-off retinal detachment post CMV retinitis may retain BCVA of 20/20 even with delayed surgical procedure. Close
follow up and appropriate timely interventions play important role for improved final outcomes.

Keywords

HIV, CMV Retinitis, Retinal Detachment,

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