Thagaard Mikkel Straarup, Vestergaard Jesper Pindbo
Ugeskr Laeger. 2019 Sep 23;181(39).
In this case report an immunocompetent patient developed retinitis after implantation of an intravitreal dexamethasone implant following a primary infection with cytomegalovirus. The implant was prescribed due to a history following a central vein occlusion with macular oedema and loss of vision. Vision improved after implantation, however, due to retinitis a vitrectomy was performed proving infection with cytomegalovirus. This case and two other recent presen-tations warrant the consideration cytomegalovirus infection in even immunocompetent individuals showing signs of retinitis following dexamethasone implantation.
在本病例报告中,一名免疫功能正常的患者在巨细胞病毒原发感染后植入玻璃体内地塞米松植入物后发生了视网膜炎。该植入物是因既往有中心静脉阻塞伴黄斑水肿和视力丧失的病史而开具的。植入后视力有所改善,然而,由于视网膜炎进行了玻璃体切除术,证实感染了巨细胞病毒。该病例以及最近的另外两例报告表明,即使是免疫功能正常的个体,在植入地塞米松后出现视网膜炎迹象时,也需要考虑巨细胞病毒感染。