Year : 2002 | Volume
: 50 | Issue : 2 | Page : 115--21
Clinical profile and immunological status of cytomegalovirus retinitis in organ transplant recipients.
Ajeet M Wagle, J Biswas, L Gopal, Hajib N Madhavan
Medical and Vision Research Foundations, Sankara Nethralaya, 18, College Road, Chennai-600 006, India
PURPOSE: Cytomegalovirus retinitis (CMV) is the most common ocular opportunistic infection in transplant recipients. This retrospective study attempts to report the differences in occurrence of cytomegalovirus retinetis in transplant recipients from those reported in patients with acquired immunodeficiency syndrome (AIDS). METHODS: 25 eyes of 15 transplant recipients (14 renal and one cardiac) with cytomegalovirus retinitis were retrospectively reviewed. Immunological profile included CD4+ and CD8+ T lymphocyte counts, CD4+/CD8+ cell ratio (5 cases) and serology for the viral antibodies (8 cases). RESULTS: A predominantly bilateral presentation (60%) was noted. Active cytomegalovirus retinitis (72%) in zone 2 (92%) of the inferotemporal quadrant (68%) was noted. The average cell counts were within normal limits (mean CD4 cell count-711/microliter), unlike in late stages of AIDS with cytomegalovirus retinitis (CD4 count < 50/microliter). Serology revealed an IgM positivity of 53%. Retinal detachment (52%) was the most common complication occurring after an average of 5.4 months. CONCLUSION: CMV retinitis in organ transplant recipients appears to differ from that in AIDS patients. CMV retinitis presents early and has different immunological profile, probably owing to differences in pathogenesis.
Ajeet M Wagle
Medical and Vision Research Foundations, Sankara Nethralaya, 18, College Road, Chennai-600 006
|How to cite this article:|
Wagle AM, Biswas J, Gopal L, Madhavan HN. Clinical profile and immunological status of cytomegalovirus retinitis in organ transplant recipients. Indian J Ophthalmol 2002;50:115-21
|How to cite this URL:|
Wagle AM, Biswas J, Gopal L, Madhavan HN. Clinical profile and immunological status of cytomegalovirus retinitis in organ transplant recipients. Indian J Ophthalmol [serial online] 2002 [cited 2020 Nov 23 ];50:115-21
Available from: https://www.ijo.in/article.asp?issn=0301-4738;year=2002;volume=50;issue=2;spage=115;epage=21;aulast=Wagle;type=0