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Long-term, Successful Maintenance of Bilateral Cytomegalovirus Retinitis Using Exclusively Local Therapy FREE

Jay S. Duker, MD; Paul Ashton, PhD; Janet L. Davis, MD; Robert Keller, MD; Elaine Chuang, MD
Arch Ophthalmol. 1996;114(7):881-882. doi:10.1001/archopht.1996.01100140095021
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A sustained-release, intravitreal implant that supplies ganciclovir directly into the vitreous cavity at a constant rate for approximately 8 months is being tested.1,2 We report the use of multiple ganciclovir implants for the long-term (>3 years) maintenance of cytomegalovirus (CMV) retinitis. Excellent local CMV retinitis control was achieved, even when follow-up exceeded 3 years.

Report of a Case.  In late December 1991, a 33-year-old man with acquired immunodeficiency syndrome was examined; unilateral, peripheral CMV retinitis was diagnosed in the right eye. His visual acuity was 20/20 OU. The CD4 count was 0.003×109L.After administration of intravenous ganciclovir sodium (390 mg), given twice daily for 2 weeks, a positive clinical response was noted (Figure 1). The patient underwent ganciclovir implantation on January 29, 1992; a modification of a previously reported technique was used.2 The administration of intravenous ganiclovir was discontinued on the day of the implantation. By 4 weeks after implantation,

REFERENCES

Martin DF, Parks DJ, Mellow SD, et al.  Treatment of cytomegalovirus retinitis with an intraocular sustained-release ganciclovir implant . Arch Ophthalmol . 1994;;112:1531-1539.
Anand R, Nightingale SD, Fish RH, Smith TJ, Ashton P.  Control of cytomegalovirus retinitis using sustained release of intraocular ganciclovir . Arch Ophthalmol . 1993;;111:223-227.
Holland GN, Sison RF, Jatulis DE, et al.  Survival of patients with the acquired immune deficiency syndrome after development of cytomegalovirus retinopathy . Ophthalmology . 1990;;97:204-211.

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Martin DF, Parks DJ, Mellow SD, et al.  Treatment of cytomegalovirus retinitis with an intraocular sustained-release ganciclovir implant . Arch Ophthalmol . 1994;;112:1531-1539.
Anand R, Nightingale SD, Fish RH, Smith TJ, Ashton P.  Control of cytomegalovirus retinitis using sustained release of intraocular ganciclovir . Arch Ophthalmol . 1993;;111:223-227.
Holland GN, Sison RF, Jatulis DE, et al.  Survival of patients with the acquired immune deficiency syndrome after development of cytomegalovirus retinopathy . Ophthalmology . 1990;;97:204-211.

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