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Table 3 Medical and surgical interventions in elderly, immunocompetent, and elderly immunocompromised non-HIV-infected patients with cytomegalovirus retinitis

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

Case

Medical treatment

Surgical interventions

Retinovascular disease

1

Intravenous ganciclovir

Diagnostic paracentesis, diagnostic vitrectomy, retinal biopsy

Disc neovascularization, rubeosis iridis, ectropion uvea, vitreous hemorrhage

2

Oral valganciclovir, intravitreal foscarnet, intracameral bevacizumab

Diagnostic paracentesis, PRP

Rubeosis iridis

3

Clarithromycin, atovoquone, valacyclovir, intravenous and oral ganciclovir

Diagnostic vitrectomy, trabeculectomy, diagnostic paracentesis, glaucoma drainage device

Rubeosis iridis, neovascular glaucoma

4

Prednisone, subtenon triamcinolone, valacyclovir, ganciclovir drug delivery device

Diagnostic vitrectomy, CE/IOL

Vitreous hemorrhage

5

Intravitreal ganciclovir and foscarnet, valganciclovir

Diagnostic paracentesis

None

6

Intravitreal ganciclovir and foscarnet, intravenous ganciclovir

Diagnostic paracentesis

Sclerotic arterioles in Zone I

7

Intravitreal ganciclovir and foscarnet, valganciclovir

Diagnostic paracentesis, RD repair

None

8

Lost to follow-up

Prior diagnostic vitrectomy and PRP, diagnostic paracentesis

Vitreous hemorrhage

9

Intravitreal ganciclovir and foscarnet, valganciclovir

Diagnostic paracentesis

None

10

Valganciclovir

Diagnostic paracentesis

None

11

Valganciclovir, intravitreal ganciclovir and foscarnet

Diagnostic paracentesis

None

12

Valganciclovir, intravitreal ganciclovir and foscarnet

Diagnostic paracentesis

Vitreous hemorrhage

13

Intravenous ganciclovir

Diagnostic paracentesis

None

14

Intravenous ganciclovir, intravitreal ganciclovir and foscarnet

Diagnostic paracentesis RD repair

None

15

Intravenous ganciclovir, intravitreal ganciclovir and foscarnet

Diagnostic paracentesis

None

  1. CE/IOL, cataract extraction with intraocular lens implantation; RD, retinal detachment; PRP, panretinal photocoagulation.