case_images: PMC3551720_01
case_images: Anterior segment of the eye. A, large keratic precipitates on the corneal endothelium. B, a mild anterior chamber cellular reaction.
case_images: 1743-422X-10-18-1.jpg
case_images: PMC3551720_01_1743-422X-10-18-1.jpg
case_images: F1
case_images: There were large keratic precipitates and a mild anterior chamber cellular reaction present in both eyes (Figure 1).
case_images: A photograph of the fundus. A, right eye. B, left eye. Apparent are retinal infiltrates and retinal necrosis, a pale optic disc, several hemorrhages in the posterior pole and white sheathing of some vessels.
case_images: 1743-422X-10-18-2.jpg
case_images: PMC3551720_01_1743-422X-10-18-2.jpg
case_images: F2
case_images: Some vessels displayed extensive white sheathing providing them with the appearance of frosted branch angiitis (Figure 2).
case_images: Results of cytologic examination of vitreous fluid. A, atypical lymphocytes highly suspected of NHL. B, syntitium of atypical lymphocytes in vitreous body. Microscope Olympus BX51, digital camera E-510. Objective 100x, num.ap. 1.4. May-Gruenwald-Giemsa staining.
case_images: 1743-422X-10-18-3.jpg
case_images: PMC3551720_01_1743-422X-10-18-3.jpg
case_images: F3
case_images: Furthermore, cytologic examination revealed atypical lymphocytes with lobulated nuclei and basophilic cytoplasma (Figure 3) on a background of lytic cells.
case_images: Results of perimetry. A, right eye. B, left eye. Large visual fields defects.
case_images: 1743-422X-10-18-4.jpg
case_images: PMC3551720_01_1743-422X-10-18-4.jpg
case_images: F4
case_images: However, BCVA decreased to 6/24 in the right eye and 6/12 in the left eye, perimetry revealed scotomas (Figure 4) and moderate vitreous haze persisted in the left eye (Figure 5).
case_images: Vitreous haze in the left eye.
case_images: 1743-422X-10-18-5.jpg
case_images: PMC3551720_01_1743-422X-10-18-5.jpg
case_images: F5
case_images: However, BCVA decreased to 6/24 in the right eye and 6/12 in the left eye, perimetry revealed scotomas (Figure 4) and moderate vitreous haze persisted in the left eye (Figure 5).
case_images: Perimetry with progression of visual fields defects. A, right eye. B, left eye.
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case_images: PMC3551720_01_1743-422X-10-18-6.jpg
case_images: F6
case_images: BCVA reduced to hand movements in the right eye and 6/18 in the left eye and further progression of visual field defects was demonstrated (Figure 6).
case_images: Time course of CMV DNA copies in plasma. Three-week long continuous intravenous foscarnet was applied in June, July and October, 2010. During September the patient was treated with foscarnet administered as a bolus three times per week.
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case_images: PMC3551720_01_1743-422X-10-18-7.jpg
case_images: F7
case_images: Moreover, an increase in plasmatic CMV DNA copies was detected (Figure 7).
case_images: A photograph of the fundus with retinal lesions in regression. A, right eye. A pale optic disc and fibrosis of some vessels. B, left eye. A pale optic disc and persisting moderate vitreous haze.
case_images: 1743-422X-10-18-8.jpg
case_images: PMC3551720_01_1743-422X-10-18-8.jpg
case_images: F8
case_images: Patient follow-up was scheduled for every 8-10 weeks as retinal lesions were inactive (Figure 8).