Commentary: Iatrogenic cytomegaloviral retinitis following intravitreal steroid implantation

[...]diligent care in case selection assumes significance. [6] PCR results are not immune from false positivity as well as negativity and should be interpreted with caution. Since the duration of anti-inflammatory action of IO lasts for 3–6 months after injection, it is important to closely monitor...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2018-09, Vol.66 (9), p.1363-1364
Main Author: Murugan, S
Format: Article
Language:English
Subjects:
Antiviral agents
Care and treatment
Case Reports
Case studies
Cataracts
Complications and side effects
Cytomegalovirus
Dexamethasone
Diabetes
Diagnosis
Edema
Gangrene
Iatrogenesis
Infections
Ophthalmology
Retinal diseases
Retinitis
Risk factors
Transplants & implants
Citations: Items that this one cites
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Summary:[...]diligent care in case selection assumes significance. [6] PCR results are not immune from false positivity as well as negativity and should be interpreted with caution. Since the duration of anti-inflammatory action of IO lasts for 3–6 months after injection, it is important to closely monitor and add prophylactic antivirals in the maintenance dose straddling their action duration to prevent any viral reactivation. [...]removal of IO for all such cases is a controversial option worth considering, especially for severe Zone 1 cases, given the medicolegal significance.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_446_18