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Year : 2022  |  Volume : 60  |  Issue : 1  |  Page : 123

Cytomegalovirus anterior uveitis

1 Department of Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
2 Department of Ocular Pathology, Uveitis and Neuro-Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India

Date of Submission13-May-2021
Date of Decision01-Oct-2021
Date of Acceptance16-Oct-2021
Date of Web Publication22-Mar-2022

Correspondence Address:
Dr. Palak Chirania
Department of Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_63_21

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How to cite this article:
Chirania P, Das D. Cytomegalovirus anterior uveitis. TNOA J Ophthalmic Sci Res 2022;60:123

How to cite this URL:
Chirania P, Das D. Cytomegalovirus anterior uveitis. TNOA J Ophthalmic Sci Res [serial online] 2022 [cited 2022 Sep 27];60:123. Available from: https://www.tnoajosr.com/text.asp?2022/60/1/123/340369

A 14-year shooter came with a complaint of anisocoria noted incidentally in AADHAAR card iris scan. There is history of trauma 2 years back. Best corrected visual acuity OU is 6/6, N6. Anisocoria is present in bright and dim light with middilated pupil, not reacting to light. Old and new variable coin shaped keratic precipitates [Figure 1] are present with AC cells 0.5+ and iris atrophy at 7 o'clock in OS. Intraocular pressure in the right and left eye was 16 and 14 mmHg, respectively. Fundus was normal. AC tap on polymerase chain reaction revealed cytomegalovirus (CMV). Healed anterior CMV uveitis with traumatic iridoplegia in an immunocompetent patient was diagnosed. In an immunocompetent person, anterior uveitis and endotheliitis are the most common ocular manifestations.[1],[2] This is a unique case detected incidentally in North East India.
Figure 1: Slit-lamp showing middilated pupil, both old and new coin-shaped keratic precipitates, and iris atrophy at 7 ofclock

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has/have given his consent for his images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity.


We would like to thank Sri Kanchi Health and Education Foundation, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

  References Top

Woo JH, Lim WK, Ho SL, Teoh SC. Characteristics of cytomegalovirus uveitis in immunocompetent patients. Ocul Immunol Inflamm 2015;23:378-83.  Back to cited text no. 1
Chee SP, Bacsal K, Jap A, Se-Thoe SY, Cheng CL, Tan BH. Clinical features of cytomegalovirus anterior uveitis in immunocompetent patients. Am J Ophthalmol 2008;145:834-40.  Back to cited text no. 2


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