Cytomegalovirus infection in a healthy adult associated with recurrent branch retinal artery occlusion.
The authors report a 16-year-old healthy male who developed branch retinal artery occlusions sequentially in both eyes. A few vitreous cells and retinal vasculitis were associated findings. A complete work-up of the patient for an etiology for the occlusions failed to show any possible embolic source. Spinal fluid studies showed increased protein content and lymphocytic pleocytosis. Serologic studies showed a tenfold rise in the cytomegalovirus (CMV) titer. Other viral titers did not rise. CMV could not be cultured from the patient's body. The case represents a possible cause of the so-called idiopathic recurrent branch retinal artery occlusion syndrome.
Digre
K B
KB
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City.
Blodi
C F
CF
Bale
J F
JF
D000208:Acute Disease; D000293:Adolescent; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D003586:Cytomegalovirus Infections / Q000150:complications*; D006801:Humans; D008297:Male; D012161:Retinal Artery; D012164:Retinal Diseases / Q000209:etiology*