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Cytomegalovirus
The cytomegalovirus (CMV) is related to the herpes virus and is present in almost everyone. Normally the immune system is able to fight the virus, preventing it from causing problems in their bodies. However, when the immune system is suppressed because of disease (HIV), organ or bone marrow transplant, or chemotherapy, the CMV virus can cause damage and disease to the eye and the rest of the body.
If we suspect an ocular condition or disease,
we will immediately schedule or perform
diagnostic tests to determined our next steps.
Photographs of retinas affected with CMV retinitis
CMV is the most common type of virus that infects those who are HIV positive. It affects the eye in about 30% of the cases by causing damage to the macula. This is called CMV retinitis. The likelihood of developing CMV retinitis increases as the CD4 cell count decreases.
Normal (unaffected) retina
CMV retinitis may affect one eye at first, but usually progresses to both eyes and becomes worse as the patient's ability to fight infection decreases. The virus is sight threatening and usually requires the care and treatment of a vitreo-retinal surgeon. Patients with CMV retinitis are at risk of retinal detachment, hemorrhages, and inflammation of the retina that can lead to permanent loss of vision and even blindness.
CSIGNS AND SYMPTOMS
CMV retinitis usually causes symptoms, but not always. Patients with a condition that suppresses the immune system should watch for the following eye symptoms while under the care of a physician.
• Floaters (spots, bugs, spider webs)
• Light flashes
• Blind spots
• Blurred vision
• Obstructed areas of vision
• Sudden decrtease of vision
DETECTION AND DIAGNOSIS
Most patients with CMV retinitis are referred for eye treatment by another physician. The vitreo-retinal surgeon diagnoses CMV retinitis by thoroughly examining the back of the eye using ophthalmoscopy. Fluorescein angiography may be needed to evaluate the circulatory system of the retina.
TREATMENT
When managing CMV retinitis, the goal of the doctor is to slow the progression of the disease and to treat related eye problems. Anti-viral medications such as ganciclovir or foscarnet are often prescribed. These drugs can be administered orally, intravenously, injected directly into the eye or through an intravitreal implant
THE EYE SPECIALISTS OF OHIO PROVIDE THE HIGHEST QUALITY
OF EYE CARE AND PERSONALIZED SERVICE YOU CAN TRUST
Eye Specialists of Ohio
By being our patient, you have placed your confidence in us! We pledge to honor that trust by providing excellent personalized care. We work hard to be recognized as a center of excellence and to provide exceptional service with every visit.
We strive to always provide the highest quality eye care services each time you walk through the door. We pledge to take excellent care of you and your family by getting to know you on a personal level.
We will make every effort to take a complete approach to your eye care. This means that we will take the time to not only understand your eye health and visual needs, but your general health, lifestyle, and dietary habits as well. This is somewhat rare in health care today, but we think you will find it to be a refreshing change.
Eye Specialists of Ohio provides superior vision and eye health care including the prevention, diagnosis and treatment in a caring, professional manner with an emphasis on patient education. We are eager to provide all of your family's eye care needs, and we would be delighted to have you as our patient.
Schedule your Eye health and Vision appointment today with our experienced eye care providers and give your vision the level of care and attention it deserves.
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