CYTOMEGALOVIRUS-ASSOCIATED ACUTE RETINAL NECROSIS FOLLOWED BY RHEGMATOGENOUS RETINAL DETACHMENT IN AN IMMUNOCOMPETENT MAN

Authors

  • Zaid Azhar Shifa International Hospital Islamabad
  • Tafiya Erum Kamran
  • Zaira Haider Shifa College of Medicine, Islamabad
  • Seyreen Faisal Shifa International Hospital Islamabad
  • Rida Inam
  • Asim Mehmood Shifa International Hospital Islamabad
  • Muhammad Amer Awan Shifa International Hospital Islamabad

Keywords:

acute retinal necrosis, CMV, retinal detachment, immunocompetent

Abstract

We report an interesting case of a 37-year-old immunocompetent man, who got diagnosed as a case of unilateral CMV retinitis. As a sequela of the disease, he developed rhegmatogenous retinal detachment. The patient was surgically managed and reported significant improvement in his vision. The main culprits of Acute Retinal Necrosis (ARN) are the members of the Herpes Simplex Virus (HSV) family, mainly HSV-1, HSV-2, and VZV. There is limited reporting of cases caused by cytomegalovirus (CMV) and Epstein-Barr virus (EBV) viruses. Cytomegalovirus retinitis is mostly affiliated with immunocompromised adults. The reporting of CMV retinitis from southeast Asia, as far as we know, is limited to people who are immunocompromised. No CMV-associated ARN has been reported in immunocompetent patients from the sub-continent region. Cytomegalovirus retinitis in an immunocompetent patient is a rare entity that prompts early diagnosis and treatment. Physicians should be aware of the occurrence of this disease in this demographic. Furthermore, the incidence of RRD in these patients is rare but not out of the frame of possibility, so patients should be kept on regular follow-ups. In our case, the patient reported improvement in symptoms after being managed by both medical and surgical intervention

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Published

2026-05-21

How to Cite

1.
Azhar Z, Tafiya Erum Kamran, Haider Z, Faisal S, Inam R, Mehmood A, et al. CYTOMEGALOVIRUS-ASSOCIATED ACUTE RETINAL NECROSIS FOLLOWED BY RHEGMATOGENOUS RETINAL DETACHMENT IN AN IMMUNOCOMPETENT MAN. J Ayub Med Coll Abbottabad [Internet]. 2026 May 21 [cited 2026 May 21];37(4). Available from: https://www.jamc.ayubmed.edu.pk/index.php/jamc/article/view/13704

Issue

Vol. 37 No. 4 (2025): 37-4

Section

CASE REPORT

License

Copyright (c) 2026 Zaid Azhar, Tafiya Erum Kamran, Zaira Haider, Seyreen Faisal , Rida Inam, Asim Mehmood, Muhammad Amer Awan

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