CMV Retinitis Diagnosis by Non-ophthalmologists

A brushfire in the eye

“…One recent study showed that a four day task oriented training workshop was sufficient to train clinicians (non-ophthalmologists) working in HIV clinics to do binocular indirect ophthalmoscopy for the diagnosis of CMV retinitis. 7 Although CMV retinitis is the most common ocular infection in immunocompromised patients, other causes must be considered. For example, cotton wool spots-infarctions of the nerve fibre layer of the retina-are common in HIV retinopathy but can be differentiated from early CMV retinitis by their smaller size, more superior location, and lack of progression.…”