Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan; School of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2023 Aug;122(8):668-674. doi: 10.1016/j.jfma.2023.03.014. Epub 2023 Mar 30.
Cytomegalovirus (CMV) uveitis, a type of herpetic uveitis, is a major cause of infectious uveitis. Anterior and posterior CMV uveitis have diverse clinical presentations and treatment modalities. Based on expert consensus in Taiwan, this article provides suggestions regarding clinical manifestations, diagnosis, and treatment strategies for CMV uveitis based on clinical practice experience in Taiwan. CMV uveitis may have a distinct clinical presentation. Polymerase chain reaction (PCR) is an essential diagnostic tool to confirm a diagnosis. Antiviral therapy is the mainstay of treatment. Different agents, routes, and other supplemental treatments have been summarized and discussed in this article. Early diagnosis and appropriate treatment of CMV uveitis are crucial to avoid irreversible complications and vision loss. This consensus provides practical guidelines for ophthalmologists in Taiwan.
巨细胞病毒（CMV）葡萄膜炎，一种疱疹性葡萄膜炎，是感染性葡萄膜炎的主要原因。前葡萄膜炎和后葡萄膜炎的临床表现和治疗方式各异。基于台湾专家共识，本文结合台湾的临床实践经验，就 CMV 葡萄膜炎的临床表现、诊断和治疗策略提出建议。CMV 葡萄膜炎的临床表现可能具有特征性。聚合酶链反应（PCR）是确诊的重要诊断工具。抗病毒治疗是主要的治疗方法。本文总结和讨论了不同的药物、途径和其他辅助治疗方法。早期诊断和适当的 CMV 葡萄膜炎治疗对于避免不可逆的并发症和视力丧失至关重要。本共识为台湾的眼科医生提供了实用的指导。
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