Retinal arteriolar occlusions due to cytomegalovirus retinitis in elderly patients without HIV

Journal of Ophthalmic Inflammation and Infection

Table 1 Clinical characteristics of seven elderly, immunocompetent, non-HIV-infected patients with cytomegalovirus retinitis

Case	Age/sex/eye	Concurrent illnesses/therapy	Months from onset to RAO	Retinitis extent at RAO zone (clock hours)	Diagnostic method	Vascular event (vision in affected eye)
1	71/M/OD	DM, HTN subtenon injection of triamcinolone	5	Zone II-III (2)	Aqueous PCR+ CMV, retinal biopsy with cytomegalic inclusion bodies	CRAO (LP)
2	81/M/OD	MS, CVA, DM, hyperlipidemia	2	Zone II-III (3)	Aqueous PCR+ CMV	CRAO (HM)
3	66/M/OS	POAG, CLL on no treatment	2	Zone II (1)	Vitreous PCR negative, aqueous PCR+ CMV	CRAO (HM)
4	77/F/OD	PMR, GCA, prednisone 10 mg, subtenon triamcinolone	4	Zone III (1)	Vitreous PCR negative, response to ganciclovir	CRAO (LP)
5	61/M/OD	CHF, HTN, DM, aortic aneurysm	4	Zone II (5)	Aqueous PCR+ CMV	BRAO (20/30)
6	80/F/OD	HTN	NA	Zone III (1)	Aqueous PCR+ CMV	Zone I arterial sheathing (20/30)
7	75/M/OD	DM, CAD	NA	Zone I-III (9)	Aqueous PCR+ CMV	None (HM)

BRAO, branch retinal arteriolar occlusion; CAD, coronary artery disease; CHF, congestive heart failure; CLL, chronic lymphocytic leukemia; CMV, cytomegalovirus; CRAO, central retinal artery occlusion; CVA, cerebral thromboembolic event; DM, diabetes mellitus; F, female; GCA, giant cell arteritis; HM, hand motions; HTN, hypertension; LP, light perception; M, male; MS, multiple sclerosis; NA; not applicable; OD, right eye; OS, left eye; OU, both eyes; PCR+, positive result by polymerase chain reaction; PMR, polymyalgia rheumatica; POAG, primary open angle glaucoma; RAO, retinal arteriolar occlusion; Zone, anatomic area of retina involved with retinitis; Zone I, arcade to arcade with 1-disc diameter border around optic nerve; Zone II, arcades to equator; Zone III, equator to ora.