PMC3589115_01
Fundus photographs of the left eye. (A) Whitish retinitis with slight hemorrhage, observed on April 1, 2011. (B) Aggravation of retinitis and hemorrhage on May 6, 2011 (26 days after sub-Tenon injection of triamcinolone acetonide).
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In April, 2011 he was diagnosed as having uveitis in his left eye (Figure 1A) which was unsuccessfully treated with posterior sub-Tenon injection of triamcinolone acetonide 20 mg. Funduscopic examination of the left eye revealed arcuate, whitish, necrotizing retinitis with hemorrhage along the temporal arcade of the retina (Figure 1B).
The patient received a course of treatment.. Notes: An arrow shows sub-Tenon injection of triamcinolone acetonide 20 mg on April 11, 2011, and dots show intravitreous ganciclovir injection on May 25, June 11 and November 17, 2011. Oral valganciclovir was discontinued on August 20, but resumed at 1800 mg/day on September 22, 2011.
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Figure 2 shows the course of treatment and Figure 3 shows fundus photographs taken on June 28 and August 20, 2011.
Fundus photographs of the left eye. (A) The retinal lesion did not resolve after intravitreous ganciclovir injection, and oral valganciclovir 1800 mg/day was initiated on June 28, 2011. (B) Resolution of retinitis was observed and valganciclovir was discontinued on August 20, 2011.
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Figure 2 shows the course of treatment and Figure 3 shows fundus photographs taken on June 28 and August 20, 2011.