Simultaneous cytomegalovirus uveitis and HIV retinopathy

Uveíte por citomegalovírus e retinopatia por HIV simultâneas

ABSTRACT

A 41 year-old man presented with unilateral vision loss for a week and constitutional symptoms for 3 months. Ophthalmic evaluation revealed cotton wool spots on the right eye and widespread retinal necrosis and hemorrhage on the left eye, suggestive of cytomegalovirus uveitis and HIV infection and retinopathy, and confirmed by serology. The patient was treated with ganciclovir and highly active antiretroviral therapy and preserved contralateral vision. Clinicians should be aware of uveitis and retinopathies to prevent irreversible vision loss and systemic conditions.

Keywords:
AIDS; HIV; Uveitis; Cytomegalovirus infections; Eye infections; Retinopathy