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4130 Truxel Road, Suite D Sacramento, CA 95834

4130 Truxel Road, Suite D Sacramento, CA 95834
916.928.8383

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CMV Retinitis

CMV or cytomegalovirus retinitis is a vision threatening virus that causes inflammation of the retina, primarily in individuals with a compromised immune system, such as those with AIDS (Acquired Immunodeficiency Syndrome).

Symptoms of CMV Retinitis

Symptoms of CMV retinitis often appear relatively suddenly. They include general blurriness, seeing flashes or floaters, sudden loss of peripheral (side) vision, or blind spots in central vision. These symptoms all appear as the virus attacks the retina, the light-sensitive layer of nerves at the back of the eye. If left untreated, the virus can cause retinal detachment and will eventually destroy the retina and damage the optic nerve, causing permanent vision loss. Usually there is no pain felt as the retinal damage is taking place. Symptoms usually start in one eye and but can spread to the other eye as well.

Causes of CMV Retinitis

Cytomegalovirus is a herpes type virus that is actually present in most adults. However, most healthy adults never experience any symptoms or problems from the virus. Individuals with a weakened immune system however, such as those with AIDS, chemotherapy or leukemia patients, newborns or the elderly are at greater risk of the virus being activated and spreading throughout the body, including the retina.

Treatment for CMV Retinitis

Treatment includes antiviral medications such as ganciclovir, foscarnet or cidofovir, which can be administered orally, via injection through a vein or directly into the eye or through a time-release implant the releases the medication at intervals. Laser surgery to improve the damaged area of the retina, such as in a retinal detachment, may also be prescribed.

Immune strengthening is also a critical part of preventing and treating CMV retinitis. Individuals with HIV or AIDS may be put on a regimen of highly active antiretroviral therapy (HAART) to boost the immune system and fight the virus. This has been shown to be highly effective in reducing the incidence of CMV retinitis in AIDS patients and reducing the damage for those that are affected.

While these treatments can stop further damage to the retina, any vision that is lost cannot be restored. Further, even if the virus is temporarily stopped, further progression may occur in the future. This is why it is critical to see a retinal specialist on a regular basis if you have had the condition or you are at risk.

We are happy to announce that beginning May 11th, we will resume patient care!  Out of an abundance of caution, and guidance from various health agencies including the CMS, CDC, and CDPH, we will be following various safety protocols to protect the health and safety of our patients and staff.  The following protocols apply whether you are coming in for an eye exam, coming to pick out new glasses, or picking up glasses or contacts. Prior to entry there are 3 important steps:

1.  Bring your own mask: You must bring your own mask or face covering!  It is required to be worn at all times within the office (we are unable to provide masks from the office; if you do not bring a mask, we will have to reschedule your visit for a later date).

2.  Body temperature reading: Staff will be administering thermometer readings, and must be within normal range for entry into the office.

3.  Attest to good health: You must attest to good health, with no symptoms of fever, cough, shortness of breath, chills, sore throat, loss of taste/smell, and have not had contact with another person with COVID19 in the past 14 days.

 In addition, we will include limiting the number of patients in the office.  Therefore, you may be asked to call the office upon arrival, and may need to wait outside or in your car until you are called into the office.  Only patients will be allowed in the office (please have spouses, relatives, and friends wait outside of the office).  Exceptions include minors and dependents...may be accompanied by one adult parent or caretaker.

Sincerely,

The Natomas Optometry Team