CMV retinitis in HIV patients

From IDWiki

Management

  • Involve Ophthalmology
  • Oral valganciclovir is equivalent to intravenous ganciclovir
  • May need intravitreal injections
  • Treat underlying HIV
  • Valganciclovir 900 mg PO bid for 14 to 21 days (induction) followed by 900 mg PO daily for 3 to 6 months (maintenance) until immune recovery