Retina-Vitreous
2001 , Vol 0 , Num 0
2Dr., Ankara Numune Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği Başasistanı
3Dr., Ankara Numune Eğitim ve Araştırma Hastanesi, l. Göz Kliniği Şefi The clinical presentation of severe intraocular inflammation in some patients with cytomegalovirus (CMV) retinitis and AIDS who experienced improved immune function during highly active antiretroviral therapy (HAART) is named as immune recovery uveitis (IRU). We describe herein, a case of CMV retinitis and AIDS who experienced a severe intraocular inflammation resembling IRU with a low CD4+ T-cell count achieved during HAART. CD4+ T-cell count was 9 cells/mm3. The patient had negative results of laboratory tests undertaken to evaluate other causes of uveitis. Intraocular inflammation was treated with a combination of topical steroid and cycloplegic. Although the inflammation resolved, its complications resulted in poor vision in both eyes. The patients with CMV retinitis and AIDS may develop severe intraocular inflammation resembling IRU despite a low CD4+ T-cell count achieved during HAART. Keywords : AIDS, cytomegalovirus retinitis, immune recovery uveitis, HAART