Cytomegalovirus retinitis after multiple ocular surgeries in an immunocompetent patient.

PURPOSE: To describe the case of a 74-year-old man who developed cytomegalovirus (CMV) retinitis after multiple ocular surgeries.

METHODS

Observational case report.

RESULTS

A 74-year-old man who had a history of multiple ocular surgeries developed unilateral retinitis with whitening of the entire peripheral retina. A presumptive diagnosis of viral retinitis was considered, and polymerase chain reaction of the aqueous fluid was positive for CMV DNA. Laboratory examination revealed that the patient was completely immunocompetent. Moreover, the patient did not have any subtenon or intravitreal injection of triamcinolone acetonide (TA). The patient responded well to intravenous ganciclovir and oral valganciclovir.

CONCLUSION

CMV retinitis can occur to immunocompetent patients without local immunosuppression with TA injection.