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JAMA Ophthalmology Clinical Challenge |

Atypical Retinitis in the Setting of Prior Cytomegalovirus Retinitis QUIZ

Harpal Singh Sandhu, MD1; Albert M. Maguire, MD2
[+] Author Affiliations
1Department of Ophthalmology, University of Pennsylvania Perelman School of Medicine, Philadelphia
2Myrin Circle, Scheie Eye Institute, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2016;134(6):709-710. doi:10.1001/jamaophthalmol.2015.4986.
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A man in his 60s presented with decreased visual acuity in the right eye, a history of human immunodeficiency virus infection, and retinal detachment of the left eye secondary to cytomegalovirus retinitis. What would you do next?

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Fundus photographs of the right eye. A, Inferotemporal area of retinal whitening (white arrowhead) with intraretinal hemorrhage adjacent to chorioretinal scars (black arrowhead). There is retinal vascular sheathing within the area of retinitis. B, Eight weeks after presentation, the retinitis has progressed with multiple new lesions along the inferior arcade (white arrowheads) threatening the macula and retinal vascular sheathing along the inferotemporal arcade (black arrowhead).

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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Differential diagnosis of CMV retinitis. Ocul Immunol Inflamm 1999;7(3-4):159-66.