Triple viral retinitis diagnosed by polymerase chain reaction of the vitreous biopsy in a patient with Richter syndrome

  • Ralph D. Levinson
  • , John J. Hooks
  • , Yun Wang
  • , Mark T. Chiu
  • , Judianne Kellaway
  • , Chi Chao Chan

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

PURPOSE: To report the evaluation and identification of herpes viruses associated with retinitis in a patient with Richter syndrome. METHODS: Diagnostic vitrectomy was performed on a patient with systemic leukemia and retinitis. The vitreous sample was evaluated by cytology, analysis of cytokines by ELISA, and detection of virus by polymerase chain reaction. RESULTS: The vitreous biopsy specimen showed no malignant cells but predominant CD8+ lymphocyte infiltration with elevated interferon gamma and interleukin-6. DNA amplification and Southern blot analysis demonstrated DNA of herpes simplex, varicella-zoster, and cytomegalovirus. CONCLUSION: Retinitis associated with multiple viruses in the vitreous biopsy may mimic leukemic infiltration in the eye.

Original languageEnglish (US)
Pages (from-to)732-733
Number of pages2
JournalAmerican journal of ophthalmology
Volume126
Issue number5
DOIs
StatePublished - Nov 1998
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology

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