You are here

Article Text

Article menu
Download PDFPDF
Letter to the Editor
Severe intraocular inflammation after a change of HAART
  1. TIMOTHY L JACKSON,
  2. WILLIAM MEACOCK
  1. Medical Eye Unit, St Thomas's Hospital
  2. London SE1 7EH
  3. Kobler Centre, Chelsea and Westminster Hospital, London
  4. Medical Eye Unit, St Thomas's Hospital
  5. London SE1 7EH
  1. MIKE YOULE
  1. Medical Eye Unit, St Thomas's Hospital
  2. London SE1 7EH
  3. Kobler Centre, Chelsea and Westminster Hospital, London
  4. Medical Eye Unit, St Thomas's Hospital
  5. London SE1 7EH
  1. ELIZABETH M GRAHAM
  1. Medical Eye Unit, St Thomas's Hospital
  2. London SE1 7EH
  3. Kobler Centre, Chelsea and Westminster Hospital, London
  4. Medical Eye Unit, St Thomas's Hospital
  5. London SE1 7EH
  1. Dr E M Graham timljackson{at}hotmail.com

https://doi.org/10.1136/bjo.84.8.928e

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Editor,—Patients with previous cytomegalovirus retinitis (CMVR) have been observed to get vitritis, cystoid macular oedema (CMO), and epiretinal membranes after commencing HAART (highly active antiretroviral therapy).1-3 It is postulated that this is due to the improved CD4+ function that occurs with HAART.4

    We present a patient with previously treated CMVR and immune recovery vitritis who developed further severe intraocular inflammation 6 weeks after changing HAART.

    CASE REPORT

    A 43 year old man, diagnosed as HIV positive in 1984, was treated in January 1996 for bilateral CMVR that responded to systemic ganciclovir.

    In April 1996 he started saquinavir, stavudine, and lamivudine. A viral load was 18 000 copies ×106/l and CD4+ count 40 cells ×106/l. In December 1996 ritonavir was added.

    In February 1997 he developed immune recovery vitritis in both eyes. Best corrected visual acuities (BCVA) were 6/6, N5 right; 6/6, N8 left. A viral …

    View Full Text