Journal of the Formosan Medical Association (Aug 2023)

Cytomegalovirus Uveitis: Taiwan expert consensus

  • Wei-Yu Chiang,
  • Chang-Ping Lin,
  • Wan-Hua Cho,
  • Chang-Hao Yang,
  • San-Ni Chen,
  • Yih-Shiou Hwang,
  • Sheng-Min Hsu,
  • De-Kuang Hwang,
  • Shih-Chou Chen,
  • Hsi-Kung Kuo,
  • Shwu-Jiuan Sheu

Journal volume & issue
Vol. 122, no. 8
pp. 668 – 674

Abstract

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Cytomegalovirus (CMV) uveitis, a type of herpetic uveitis, is a major cause of infectious uveitis. Anterior and posterior CMV uveitis have diverse clinical presentations and treatment modalities. Based on expert consensus in Taiwan, this article provides suggestions regarding clinical manifestations, diagnosis, and treatment strategies for CMV uveitis based on clinical practice experience in Taiwan. CMV uveitis may have a distinct clinical presentation. Polymerase chain reaction (PCR) is an essential diagnostic tool to confirm a diagnosis. Antiviral therapy is the mainstay of treatment. Different agents, routes, and other supplemental treatments have been summarized and discussed in this article. Early diagnosis and appropriate treatment of CMV uveitis are crucial to avoid irreversible complications and vision loss. This consensus provides practical guidelines for ophthalmologists in Taiwan.

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