Treatment of bilateral cytomegalovirus retinitis with sustained-release ganciclovir implants in a child

被引:4
作者
Malley, DS [1 ]
Barone, R [1 ]
Heinemann, MH [1 ]
机构
[1] NEW YORK HOSP,CORNELL MED CTR,DEPT OPHTHALMOL,NEW YORK,NY 10021
关键词
D O I
10.1016/S0002-9394(14)70496-9
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To report treatment of bilateral cytomegalovirus (CMV) retinitis in an 11-year-old girl with acquired immunodeficiency syndrome (AIDS). METHOD: Case report describing the use of intravitreal ganciclovir sustained-release devices to treat CMV retinitis, involving zones 1 through 3, which progressed despite single and combination intravenous therapy with ganciclovir and foscarnet. RESULTS: Stabilization with no active CMV retinitis was achieved after bilateral implantation of intravitreal sustained-release ganciclovir devices. There was no reactivation of the retinitis during the 5 months of follow-up. CONCLUSION: Sustained-release ganciclovir implants can be used to achieve local control of CMV retinitis in the pediatric patient.
引用
收藏
页码:731 / 732
页数:2
相关论文
共 5 条
[1]   TREATMENT OF AGGRESSIVE CYTOMEGALOVIRUS RETINITIS WITH GANCICLOVIR IN COMBINATION WITH FOSCARNET IN A CHILD INFECTED WITH HUMAN-IMMUNODEFICIENCY-VIRUS [J].
BUTLER, KM ;
DESMET, MD ;
HUSSON, RN ;
MUELLER, B ;
MANJUNATH, K ;
MONTRELLA, K ;
LOVATO, G ;
JAROSINSKI, P ;
NUSSENBLATT, RB ;
PIZZO, PA .
JOURNAL OF PEDIATRICS, 1992, 120 (03) :483-486
[2]   CYTOMEGALO-VIRUS RETINITIS AND ACQUIRED IMMUNODEFICIENCY SYNDROME [J].
JABS, DA ;
ENGER, C ;
BARTLETT, JG .
ARCHIVES OF OPHTHALMOLOGY, 1989, 107 (01) :75-80
[3]   TREATMENT OF CYTOMEGALOVIRUS RETINITIS WITH AN INTRAOCULAR SUSTAINED-RELEASE GANCICLOVIR IMPLANT - A RANDOMIZED CONTROLLED CLINICAL-TRIAL [J].
MARTIN, DF ;
PARKS, DJ ;
MELLOW, SD ;
FERRIS, FL ;
WALTON, RC ;
REMALEY, NA ;
CHEW, EY ;
ASHTON, P ;
DAVIS, MD ;
NUSSENBLATT, RB .
ARCHIVES OF OPHTHALMOLOGY, 1994, 112 (12) :1531-1539
[4]   SUSTAINED-RELEASE GANCICLOVIR THERAPY FOR TREATMENT OF CYTOMEGALOVIRUS RETINITIS - USE OF AN INTRAVITREAL DEVICE [J].
SANBORN, GE ;
ANAND, R ;
TORTI, RE ;
NIGHTINGALE, SD ;
CAL, SX ;
YATES, B ;
ASHTON, P ;
SMITH, T .
ARCHIVES OF OPHTHALMOLOGY, 1992, 110 (02) :188-195
[5]   Combined intravenous ganciclovir and foscarnet for children with recurrent cytomegalovirus retinitis [J].
Walton, RC ;
Whitcup, SM ;
Mueller, BU ;
Lewis, LL ;
Pizzo, PA ;
Nussenblatt, RB .
OPHTHALMOLOGY, 1995, 102 (12) :1865-1870