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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.

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To our valued patients,

During these challenging times, we feel it’s especially important to keep you informed of what we are doing to keep you safe. The health and safety of our patients is our primary goal. The impact of the COVID-19 pandemic remains fluid and as such we have made the following changes in our clinic as we strive to maintain the highest standards of care for you our patients:

* Modified schedule. Anyone entering the clinic will need an appointment. There will only be one patient allowed in the clinic at one time to ensure social distancing. Other family members are not permitted in. You can continue to call the clinic to make these appointments. Seniors 60 and over will kindly be asked to reschedule for a safer time in the future.

* All patients must sign a form declaring that they do not have a fever, sore throat, cough, runny nose and other flu-like symptoms including aches and pains. They also must declare that they are practicing social distancing in accordance with the Governor of Washington’s mandate.

* All common surfaces will be disinfected in accordance with current guidelines and protocols after each and every patient and before a new patient enters the clinic. This includes instruments and eyeglass frames that have been handled.

Thank you for your patience and understanding during this difficult time. Our thoughts and prayers are with you. Together, we will get through this.

Warmest regards,

Dr. Osborne and staff