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Marc D. de Smet, MD; Robert B. Nussenbatt, MD

JAMA. 1991;266(21):3019-3022.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SELECTED CASES

Case 1

A 58-YEAR-OLD bisexual man presented to the eye clinic of the National Institutes of Health, Clinical Center, Bethesda, Md, with a 2-day history of shadows in his left eye that had progressed to a more confluent clouding of his peripheral field. Visual acuity was 6/6 (20/20) in his right eye and 6/12 (20/40) in his left. Retinal examination revealed an area of hemorrhagic retinitis extending to within 2 disc diameters of his optic nerve. A white perivascular sheath was noted along major vessels beyond the area of involvement. A diagnosis of cytomegalovirus (CMV) retinitis was made and the patient was started on ganciclovir sodium (5 mg/kg intravenously, twice a day) with resolution of the retinitis. However, after 6 weeks on maintenance ganciclovir therapy (5 mg/kg, once a day), he noted further change in his vision and had funduscopic evidence of CMV reactivation. He was given another . . . [Full Text PDF of this Article]

Author Affiliations
From the Laboratory of Immunology, National Eye Institute, Bethesda, Md.

Footnotes
Reprint requests to National Eye Institute, National Institutes of Health, Bldg 10, Room 10N202, Bethesda, MD 20892 (Dr de Smet).

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