Is seen in advanced HIV infection with CD4 count of less 100 cells/mm3
Diagnostic Criteria
- Presents with characteristic retinal appearance of necrosis (white exudates and haemorrhages at the edge of the exudates
- Visual loss is irreversible
Pharmacological Treatment
S: Ganciclovir 2 mg intravitreal, once a week
Once immune function has been restored with antiretroviral therapy, (CD4 > 100) and the features of active retinitis has been cleared, maintenance Ganciclovir can be stopped but monitor for recurrence.
Referral
Refer to Ophthalmologist for confirmation of diagnosis and treatment.