title: Kyrieleis plaques in cytomegalovirus retinitis.
abstract: OBJECTIVE
  The purpose of this study is to report a case of Kyrieleis plaques (segmental retinal periarteritis) associated with cytomegalovirus (CMV) retinitis.
  
  
  METHODS
  A 47-year-old female with recently diagnosed human immunodeficiency virus and a CD4 count of 55 cells/µl presented with decreased vision and floaters in her left eye. Ophthalmic examination revealed an advancing border of white granular CMV retinitis extending into the macula. Intraocular aqueous specimen contained 420,000 copies/ml of CMV DNA by polymerase chain reaction. The patient was treated with intravitreal foscarnet and oral valganciclovir.
  
  
  RESULTS
  Kyrieleis plaques involving the retinal arteries were noted on presentation and increased during the first 6 weeks of treatment as the retinitis faded. The plaques on fluorescein angiography did not leak fluorescein dye and slowly faded over 5 months.
  
  
  CONCLUSIONS
  Kyrieleis plaques can be seen in the setting of CMV retinitis. These plaques can be differentiated from vascular sheathing and frosted branch angiitis by its occurrence only in the retinal arteries and the absence of leakage of fluorescein dye.
authors.affiliation: Department of Ophthalmology, The New York Eye & Ear Infirmary, 310 East 14th Street, New York, NY, 10003, USA.
authors.forename: Amar
authors.initials: A
authors.lastname: Patel
authors.forename: Matthew
authors.initials: M
authors.lastname: Pomykala
authors.forename: Krishna
authors.initials: K
authors.lastname: Mukkamala
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Gentile