علاج التهاب العنبية الخلفي في التهاب شبكية الفيروس المضخم للخلايا مع الإيدز أو نقص المناعة بعد زراعة الأعضاء

References

DOI: 10.4103/0301-4738.58470

1. CMV retinitis, usually seen in immunocompromised states such as in AIDS or post organ transplant patients on immunosuppressives, has a characteristic granular or pizza pie appearance and a typical brushfire pattern of spread along the blood vessels.
2. Intravenous ganciclovir-5–7 mg/kg/day in two divided doses for 2 week-induction dose followed by once daily-maintenance dose till complete resolution of lesions and improvement of immune status is the treatment of choice in CMV retinitis.
3. Intravitreal injections of either ganciclovir or foscarnet may be considered, especially in initial cases where the macula is threatened.
4. Alternatively, oral valganciclovir-900 mg BD as induction and 900 mg OD as maintenance dose has an additional advantage of being a non-parenteral mode of treatment, avoiding complications related to indwelling catheters, especially in immunocompromised individuals.