Anterior Uveitis Due to Cytomegalovirus Infection in Immunocompetent Patients – Diagnosis and Treatment Based on Clinical Examples.
Wydanie 2/2023
str. 14 – 18
Autorzy: Maria Guszkowska1, Monika Łazicka-Gałecka1,2, Anna Kamińska1,2, Jacek P. Szaflik1,2
1. Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jacek P. Szaflik
2. Katedra i Klinika Okulistyki Wydziału Lekarskiego Warszawskiego Uniwersytetu Medycznego
Kierownik: prof. dr hab. n. med. Jacek P. Szaflik
Summary:
Uveitis caused by reactivation of cytomegal ovirus appears to be a rare disease that usually affects immunocompromised patients, but a recent review of the literature provides us with more and more examples of its occurrence in immunocompetent individuals as well. With the widespread use of polymerization chain reaction tests from the aqueous fluid, it has been demonstrated that cytomegalovirus may be responsible for most cases of the infectious iritis. The variable clinical course of cytomegalovirus anterior uveitis can make it difficult to provide an appropriate diagnosis. The key is to promptly initiate appropriate treatment and effectively prevent recurrence, as there is a very high risk of complications, i.e. glaucoma or macular edema. Based on exemplary clinical cases, the different forms of inflammation, diagnosis and treatment are discussed.