By ULY CLINIC

 

Retinitis

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Is seen in advanced HIV infection with CD4 count of less 100 cells/mm3 

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Diagnostic Criteria

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• Presents with characteristic retinal appearance of necrosis (white exudates and haemorrhages at the edge of the exudates

• Visual loss is irreversible 

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Pharmacological Treatment 

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Ganciclovir 2 mg intravitreal, once a week Once immune function has been restored with antiretroviral therapy, (CD4 > 100) and the features of active retinitis has been cleared, maintenance Ganciclovir can be stopped but monitor for recurrence.  

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Referral

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Refer to Ophthalmologist for confirmation of diagnosis and treatment.

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Updated on, 2.11.2020

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References

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1. STG