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Cytomegalovirus
The cytomegalovirus (CMV) is related to the herpes virus and is present in almost everyone. Normally the immune system is able to fight the virus, preventing it from causing problems in their bodies. However, when the immune system is suppressed because of disease (HIV), organ or bone marrow transplant, or chemotherapy, the CMV virus can cause damage and disease to the eye and the rest of the body.

If we suspect an ocular condition or disease,
we will immediately schedule or perform
diagnostic tests to determined our next steps.

Photographs of retinas affected with CMV retinitis

CMV is the most common type of virus that infects those who are HIV positive. It affects the eye in about 30% of the cases by causing damage to the macula. This is called CMV retinitis. The likelihood of developing CMV retinitis increases as the CD4 cell count decreases.
Cytomegalovirus
 


Normal (unaffected) retina
CMV retinitis may affect one eye at first, but usually progresses to both eyes and becomes worse as the patient's ability to fight infection decreases. The virus is sight threatening and usually requires the care and treatment of a vitreo-retinal surgeon. Patients with CMV retinitis are at risk of retinal detachment, hemorrhages, and inflammation of the retina that can lead to permanent loss of vision and even blindness.
Cytomegalovirus
 

CSIGNS AND SYMPTOMS CMV retinitis usually causes symptoms, but not always. Patients with a condition that suppresses the immune system should watch for the following eye symptoms while under the care of a physician.
• Floaters (spots, bugs, spider webs)
• Light flashes
• Blind spots
• Blurred vision
• Obstructed areas of vision
• Sudden decrtease of vision DETECTION AND DIGNOSIS Most patients with CMV retinitis are referred for eye treatment by another physician. The vitreo-retinal surgeon diagnoses CMV retinitis by thoroughly examining the back of the eye using ophthalmoscopy. Fluorescein angiography may be needed to evaluate the circulatory system of the retina. TREATMENT When managing CMV retinitis, the goal of the doctor is to slow the progression of the disease and to treat related eye problems. Anti-viral medications such as ganciclovir or foscarnet are often prescribed. These drugs can be administered orally, intravenously, injected directly into the eye or through an intravitreal implant



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AccuVISION Gurnee 5101 W. Washington St. Ste19 Gurnee, IL 60031 Phone: (847) 856-2020
AccuVISION Lindenhurst 1914 E. Grand Ave Lindenhurst, IL 60046 Phone: (847) 356-2020
AccuVISION Mundelein 824 N IL RTE 83 Mundelein, IL 60060 Phone: (847) 362-2020
AccuVISION Round Lake Beach 2183 N. Il Rt. 83 Rd Round Lake Beach, IL 60073 Phone: (847) 223-2020
AccuVISION Schaumburg 1760 Wise Rd Schaumburg, IL 60193 Phone: (847) 352-2020
AccuVISION Wauconda 345 W Mill St. Wauconda, IL 60084 Phone: (847) 526-2020

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