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Sharon Fekrat, MD; James P. Dunn, MD; Daniel Lee; Tracy Miller, COT; Douglas A. Jabs, MD
Baltimore, Md

Arch Ophthalmol. 1995;113(1):18.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Cytomegalovirus (CMV) retinitis occurs most often in patients with the acquired immunodeficiency syndrome (AIDS) whose absolute CD4⁺ lymphocyte count is less than 0.05x 10⁹/L.¹ Routine screening for CMV retinitis has been recommended only for patients with severe CD4⁺ lymphocyte depletion.^1,2 In fact, a recent letter in The Journal of the American Medical Association² claimed that "only patients whose CD4 count is below 0.10x10⁹/L (100/µL) develop CMV retinitis." We describe two patients with human immunodeficiency virus (HIV) infection but no prior AIDS-defining diagnosis in whom CMV retinitis with CD4⁺ counts greater than 0.20x10⁹/L developed.

See also pages 25 and 89

Case Reports.

Case 1.

A 56-year-old HIV-seropositive homosexual man presented with progressive visual field loss in his left eye. His CD4⁺ lymphocyte count was 0.315x 10⁹/L 1 month earlier, when he noted black spots in that eye but did not . . . [Full Text PDF of this Article]

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