Retina-Vitreous
2013 , Vol 21 , Num 3
Recurrent Cytomegalovirus Retinitis in a Patient with Non-Hodgkin’s Lymphoma
1M.D., Sivas Training and Research Hospital, Eye Clinic, Sivas/TURKEY2M.D., Turhal State Hospital, Eye Clinic, Turhal-Tokat/TURKEY A 30-year-old female patient presented at our clinic suffering from decreasing vision in the left eye for the last 2 weeks. According to the patient file, she had been started on chemotherapy six months ago due to a diagnosis of stage 4 peripheral T-cell non-Hodgkin's lymphoma. There was common vascular sheathing with an appearance of typical frosted branch angiitis and white retinal lesions related to retinal hemorrhages in the right eye on fundoscopic examination. The left retina was hazy on fundoscopic examination but exudative lesions were observed around the optic disc and macula and on the peripheral retina. HIV and CMV IgM tests were negative on serological tests, but the CMV IgG test was positive. CMV retinitis was diagnosed and intravenous ganciclovir administered as the treatment. Ganciclovir was stopped after 4 months, but CMV retinitis recurred in both eyes two weeks later. The patient was transferred to the hematology service as he was in poor general condition but later passed away. In conclusion, we recommend at least six months ganciclovir therapy for such cases to prevent the recurrence of the disease. Keywords : Cytomegalovirus retinitis, ganciclovir, non-Hodgkin lymphoma