Challenges and Strategies for Long-Term Management of Pediatric Cytomegalovirus Retinitis: A Tertiary Medical Center Perspective
Accept poster if oral is not possible ?
Yes
Purpose
This study aims to retrospectively analyze pediatric cytomegalovirus (CMV) retinitis cases, focusing on monitoring, treatment, and long-term treatment outcomes for both congenital and acquired infections.
Methods
We conducted a retrospective case series review of pediatric CMV retinitis cases in a tertiary medical center. Each case was evaluated for clinical presentation, diagnostic methods, treatment approaches, long-term follow-up, and visual outcomes.
Results
Several cases were included: a congenital CMV infection in an infant and some cases of acquired CMV retinitis in immunocompromised children with underlying conditions such as acute lymphoblastic leukemia and Langerhans cell histiocytosis. Long-term follow-up revealed potential for recurrence, development of complications like retinal detachment and immune recovery uveitis (IRU) like intraocular inflammation, and the need for regular retinal examinations even after negative CMV viremia.
Conclusion
This case series underscores the importance of long-term, multidisciplinary follow-up for patients with pediatric CMV retinitis. Key aspects of management include periodic retinal examinations, monitoring of CMV viral load, vigilance for recurrence and complications, and collaboration between ophthalmologists and pediatricians.
Conflict of interest
No
1
Last name
LAI
Initials of first name(s)
YJ
Department
Department of Ophthalmology, MacKay memorial hospital
City
Taipei
Country
Taiwan
2
Last name
Chan
Initials of first name(s)
WC
Department
Department of Ophthalmology, MacKay memorial hospital
City
Taipei
Country
Taiwan
3
Last name
Yeh
Initials of first name(s)
TC
Department
Department of Pediatrics, MacKay memorial hospital
City
Taipei
Country
Taiwan
4
Last name
Chiu
Initials of first name(s)
FY
Department
Department of Ophthalmology, MacKay memorial hospital
City
Taipei
Country
Taiwan
This website uses cookies to ensure you get the best experience on our website.
Learn more