Neovascularization of the optic disk and vitreous hemorrhage after immune recovery and treatment of cytomegalovirus retinitis in an HIV-positive patient.
OBJECTIVE
To report a case of neovascularization of the disk and vitreous hemorrhage associated with cytomegalovirus retinitis in an HIV-positive man on highly active antiretroviral therapy.


METHODS
Clinical examination by fellowship-trained retina specialist, including fundus photography and fluorescein angiography.


RESULTS
A 44-year-old HIV-positive man with known history of cytomegalovirus retinitis subsequently developed neovascularization of the disk and vitreous hemorrhage after the initial treatment. This was treated with panretinal photocoagulation and responded well to treatment.


CONCLUSIONS
Neovascularization of the disk and vitreous hemorrhage are rare but important sequelae of cytomegalovirus retinitis in the HIV-positive population.
*Department of Ophthalmology, University of South Florida, Tampa, Florida; and †Retina-Vitreous Associates of Florida, Tampa, Florida.
Jeffrey R
JR
Golen
David
D
Eichenbaum