Title : An interesting case of CMV anterior uveitis
Abstract:
Cytomegalovirus (CMV) anterior uveitis is the predominant ocular manifestation of CMV in immunocompetent individuals, typically arising from local reactivation of latent CMV and usually presents unilaterally. Characterized by mild anterior chamber inflammation, elevated intraocular pressure, and stromal iris atrophy, it often lacks synechiae, macular edema, and retinitis. This case details a 5-year-old female with bilateral conjunctival congestion, blurred vision, and eye pain. Despite initial treatment for vernal keratoconjunctivitis, her condition warranted further investigation due to lack of improvement. Diagnostic tests revealed elevated CMV IgG levels and subsequent treatment with oral valganciclovir led to significant improvement. The case underscores the importance of considering viral etiologies in atypical presentations of uveitis and highlights that conditions such as elevated intraocular pressure and corneal changes can indicate CMV involvement. Timely diagnosis and appropriate antiviral therapy are crucial to prevent complications like glaucomatous optic neuropathy.
