RETINITIS WITH MACULAR INVOLVEMENT IN RENAL TRANSPLANT RECIPIENT

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Presentation transcript:

RETINITIS WITH MACULAR INVOLVEMENT IN RENAL TRANSPLANT RECIPIENT Institutions: Hospital Universitario Ramon y Cajal. Authors: Fuente Garcia,Carlota Ciancas Fuentes,Esther González-López, Julio J

CLINICAL CASE 74-year-old woman Progressive vision loss on her right eye for the last month Dysphasia Personal history: Renal transplant Diffuse large B-cell lymphoma in complete remission for the last 12 months.

RETINOGRAPHIES 22/09/15

RED FREE

FLUORESCEIN

RETINOGRAPHIES 28/09/15

RETINOGRAPHIES 09/10/15

SYSTEMIC STUDY Aqueous humor PCR: Herpesvirus –Toxoplasma – Vitreous humor: IL-10 (395.20 pg/mL) Increased IL-10 to IL-6 ratio Differential diagnosis: Toxoplasma CMV Intraocular lymphoma

BRAIN MRI

CASE CONCLUSIONS Posterior uveitis might be challenging in immunocompromised patients. Good anamnesis is of paramount importance. Measuring vitreous interleukin levels can be useful.