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Africa Digital Clinic

Disease prevention, early detection and effective management.

14.8 Retinitis

Table of Contents

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.

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