(REFER: Make your diagnosis, by Leon van Vuuren)
The patient was referred to an ophthalmologist. She is on anti-retrovirals.
V/A R – 0,75 L – hand movements
Cytomegalovirus retinitis – can lead to blindness. It occurs predominantly in patients whose immune system has been compromised, commonly infected by AIDS
This is a flare-up of CMV due to an immune response
She will require intra-vitreal ganciclovir and antiviral treatment