A young female presented to OPD with history of bil.DOV, for the last 2 days.
VA was 6/12 and PL + PR Faulty in the right and left eyes respectively. On Examination Left eye showed deep intraretinal hemorrhages, cotton wool spots, hard exudates and dense retinitis with vitritis. Right eye showed the lesions only in the temporal periphery. Labs showed Reduced CD4 cell count and HIV came out positive.
Provisional Diagnosis of CMV Retinitis was made and the patient started on Intravitreal Ganciclovir 6mg/0.1ml in the Right eye and oral Valganiclovir. The left was considered gone and all treatment was focused on saving the right eye. the patient eventually recovered vision of 6/6
#eye #retina #immunocompromised #ophthalmologist #ophthalmology #ophthalmic #medical #medicalstudent
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