title: Cytomegalovirus retinitis after heart transplant: a case report.
abstract: A man aged 51 years was found to have cytomegalovirus (CMV) retinitis in his right eye one year after heart transplant surgery. Ophthalmoscopy revealed a patch yellowish-white, granular, necrotic lesions admixed with flame-shaped intraretinal hemorrhage over the temporal lower retina. Anti-CMV IgM antibody was positive. The visual acuity improved from 20/200 to 20/20 within one month by CMV hyperimmune globulin therapy (cytotect, Biotest, FRG, 2 ml/kg every other day for two weeks). The retinal necrosis healed with permanent scar tissue formation. No other complications were noted after a fifteen month follow up. In this study, the clinical findings and fundus picture were presented, along with previous literature reviewed.
authors.affiliation: Department of Ophthalmology, Tri-Service General Hospital, Taipei, Taiwan, R.O.C.
authors.forename: P I
authors.initials: PI
authors.lastname: Chou
authors.forename: H
authors.initials: H
authors.lastname: Lee
authors.forename: F Y
authors.initials: FY
authors.lastname: Lee
mesh_terms: D003586:Cytomegalovirus Infections / Q000209:etiology*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012173:Retinitis / Q000209:etiology*