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Ocular Complications 

Ocular Complications
Chapter:
Ocular Complications
Author(s):

James P. Dunn

DOI:
10.1093/med/9780190493097.003.0040
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date: 08 December 2019

Before the era of antiretroviral therapy (ART), cytomegalovirus (CMV) retinitis was the most common ocular opportunistic infection in patients with AIDS, occurring in up to 30% of patients. The incidence of CMV retinitis, its natural history, and the indications for and response to therapy depend in part on whether at-risk patients are taking ART. Symptoms of CMV retinitis are nonspecific and include floaters, light flashes, peripheral visual field loss, and blurred central vision. Patients taking ART, especially those with immune recovery, are at lower risk of CMV retinitis than are patients who remain profoundly immunosuppressed; thus, patients taking ART do not need to be screened as often.

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