cmvhstry

Retinal exam-normal	08/31/94
CMV diagnosis right eye (upon noticable visual change)(Dr. Pope)	11/01/94
started IV ganciclovir 350mg /bid	11/02/94
Sandoglobulin infusions for three days starting	11/02/94
visual field to access vision loss	11/04/94
Intravitreal injection ganciclovir	11/05/94
Increased ganciclovir to 400mg bid	12/05/94
Sandoglobulin infusions for three days: 24, 18, & 18g starting	12/05/94
Laser photocoagulation to arrest smoldering CMV	12/07/94
Drop to once daily ganciclovir infusions 400mg	12/28/94
No active CMV	01/04/95
Early CMV reactivation right eye, increase infusions to bid	03/02/95
CMV regressing continue bid	03/09/95
CMV quiet, switch to oral ganciclovir	03/21/95
CMV reactivation right eye reinduce with ganciclovir IV bid	04/13/95
CMV regressing continue IV bid (note: R-eye still corrected 20/20)	05/03/95
Still faint CMV-now vision <20/20	05/10/95
R-eye nearly quiet, drop to once daily IV ganciclovir	05/17/95
CMV almost gone continued IV	05/31/95
Switched to oral ganciclovir	06/09/95
Start daily IV ganciclovir-just to be sure	07/07/95
Reactivation R-eye	07/11/95
Intravitreal injection foscarnet	07/12/95
Looked better	07/13/95
Switch to oral ganciclovir	07/19/95
Smoldering CMV, restart once daily IV ganciclovir	07/25/95
Laser photocoagulation to stop smoldering & "glue" retina down	08/04/95
No active CMV; vision ~20/30	08/22/95
Slight reactivation + retinal detachment (Dr. Fish)	09/13/95
switched to IV foscarnet (6g bid) for CMV	09/13/95
Vitrectomy¹, silicone oil² replaced, foscarnet bubble (Fish)	09/15/95
No active CMV, drop to once daily foscarnet	10/02/95
Stopped all antiCMV therapy during trip out-of-town	10/12/95
Restarted daily foscarnet	10/18/95
smoldering CMV near center of vision	10/19/95
Frank reactivation, increase foscarnet to bid	10/26/95
CMV regressing-quiet	11/02/95
Drop to once daily foscarnet	11/08/95
Spot on LEFT retina, switch to bid foscarnet (note: no vision/light R-eye)	12/11/95
Spot gone, return to daily foscarnet	12/19/95
Retinal scars in LEFT eye, confirms 12/11/95 CMV Dx	02/13/96
CMV activation R-eye, cataract³ forming, no drug change	06/13/96
No active CMV	07/03/96
Cataract blocking R retinal view, uvitius-stopped all antiCMV drugs	07/30/96
started oral Cytovene (6x250mg, q.i.d.) Note: 2 x standard dose	08/14/96
begin monthly CMV viral load tests	08/--/96
started Cytogam⁴ (6900mg) IV every-other-week	08/16/96
discontinued Cytogam infusions	10/09/96
last CMV viral load in series	01/--/97
glaucoma⁵ Dx in R-eye; began Alphagan drops t.i.d. R-eye	02/17/97
dropped to standard oral Cytovene dose (4x250mg t.i.d.)	09/01/97