| Presentation preference | Poster presentation |
| Title | Challenges and Strategies for Long-Term Management of Pediatric Cytomegalovirus Retinitis: A Tertiary Medical Center Perspective |
| Accept poster if oral is not possible ? | Yes |
| Purpose | This study aims to retrospectively analyze pediatric cytomegalovirus (CMV) retinitis cases, focusing on monitoring, treatment, and long-term treatment outcomes for both congenital and acquired infections. |
| Methods | We conducted a retrospective case series review of pediatric CMV retinitis cases in a tertiary medical center. Each case was evaluated for clinical presentation, diagnostic methods, treatment approaches, long-term follow-up, and visual outcomes. |
| Results | Several cases were included: a congenital CMV infection in an infant and some cases of acquired CMV retinitis in immunocompromised children with underlying conditions such as acute lymphoblastic leukemia and Langerhans cell histiocytosis. Long-term follow-up revealed potential for recurrence, development of complications like retinal detachment and immune recovery uveitis (IRU) like intraocular inflammation, and the need for regular retinal examinations even after negative CMV viremia. |
| Conclusion | This case series underscores the importance of long-term, multidisciplinary follow-up for patients with pediatric CMV retinitis. Key aspects of management include periodic retinal examinations, monitoring of CMV viral load, vigilance for recurrence and complications, and collaboration between ophthalmologists and pediatricians. |
| Conflict of interest | No |
1
| Last name | LAI |
| Initials of first name(s) | YJ |
| Department | Department of Ophthalmology, MacKay memorial hospital |
| City | Taipei |
| Country | Taiwan |
2
| Last name | Chan |
| Initials of first name(s) | WC |
| Department | Department of Ophthalmology, MacKay memorial hospital |
| City | Taipei |
| Country | Taiwan |
3
| Last name | Yeh |
| Initials of first name(s) | TC |
| Department | Department of Pediatrics, MacKay memorial hospital |
| City | Taipei |
| Country | Taiwan |
4
| Last name | Chiu |
| Initials of first name(s) | FY |
| Department | Department of Ophthalmology, MacKay memorial hospital |
| City | Taipei |
| Country | Taiwan |