1. 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

2. 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.

3. RETINOGRAPHIES 22/09/15

4. RED FREE

5. FLUORESCEIN

6. RETINOGRAPHIES 28/09/15

7. RETINOGRAPHIES 09/10/15

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

9. BRAIN MRI

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