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====Cytomegalovirus Retinitis====
====Cytomegalovirus Retinitis====
*Cytomegalovirus Retinitis is a result of a viral, herpes infection of the retina.
*Cytomegalovirus Retinitis is a result of a viral, herpes infection of the retina.
*Highly prevalent as a cause of blindness within the AIDS infected population.
*Highly prevalent as a cause of blindness within the AIDS infected population.<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref>


====Syphilis====
====Syphilis====
*Retinitis resulting from a syphilitic infection is commonly referred to as a ocular syphilis.  
*Retinitis resulting from a syphilitic infection is commonly referred to as a ocular syphilis.  
*The infection persists as syphilitic spirochetes, ''Treponema pallidum'', invade or cause allergic reactions within the surrounding tissue.
*The infection persists as syphilitic spirochetes, ''Treponema pallidum'', invade or cause allergic reactions within the surrounding tissue.<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref>


====Endogenous Fungal Infections====
====Endogenous Fungal Infections====
Line 33: Line 33:
*Exogenous fungal infections primarily occur as a result of a recent event such as physical injury or surgery.  
*Exogenous fungal infections primarily occur as a result of a recent event such as physical injury or surgery.  
*Exogenous fungal infections are usually a result of Candidal retinitis. An infection commonly associated with candida chorioretinitis.  
*Exogenous fungal infections are usually a result of Candidal retinitis. An infection commonly associated with candida chorioretinitis.  
*Candidas chorioretinitis is typically caused by the species ''Candida albicans.''
*Candidas chorioretinitis is typically caused by the species ''Candida albicans.''<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref>


====Tuberculosis====
====Tuberculosis====
Line 39: Line 39:
*Infection of the retina is associated with the spread of the tuberculosis causing bacterial agents.  
*Infection of the retina is associated with the spread of the tuberculosis causing bacterial agents.  
*Common presentation of tuberculosis in the retina appears as multiple choroidal tubercles.  
*Common presentation of tuberculosis in the retina appears as multiple choroidal tubercles.  
*These tubercles are best defined as minor nodules with a grayish appearance.
*These tubercles are best defined as minor nodules with a grayish appearance.<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref>


====Toxoplasmosis====
====Toxoplasmosis====
*Toxoplasma gondii is a parasitic agent found in contaminated meat and egg products.  
*Toxoplasma gondii is a parasitic agent found in contaminated meat and egg products.  
*Persistence occurs within the vacuoles of cells found within tissues throughout the host.
*Persistence occurs within the vacuoles of cells found within tissues throughout the host.
*Rupturing of tissue cysts with host cells may lead disease resulting in retinitis. This occurrence is mostly common within individuals who were previously immuno-compromised.
*Rupturing of tissue cysts with host cells may lead disease resulting in retinitis. This occurrence is mostly common within individuals who were previously immuno-compromised.<ref name="ret phys">Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016. </ref>


==References==
==References==

Revision as of 18:45, 19 April 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ilan Dock, B.S.

Overview

Retinitis may be caused by multiple infectious agents including cytomegalovirus, toxoplasmosis, tuberculosis, syphilis, and candida. Retinitis Pigmentosa is classified as a genetic eye disease which occurs as a result of an inherited defect. [1]

Causes of Retinitis

Genetic

Retinitis Pigmentosa

  • Retinitis Pigmentosa is classified as a genetic eye disease, inherited from either one or both of a patient's parents. [2]
  • The disease is a result of genetic defects in one of 50 genes required for the proper creation of photoreceptor proteins. [1]
  • Generally the genetic disorder is linked to the inheritance of a recessive gene contributed by both parents. [2]
  • Other cases have been linked to the inheritance of a dominant gene, defects of the X chromosome, and newly formed mutations caused by diseases.
  • Progression of RP causes photoreceptor, cellular breakdown, both rods and cones.
  • Ultimately, the progressive breakdown of photoreceptors leads to restricted vision or permanent loss of vision. [2]

Infectious Agents

Cytomegalovirus Retinitis

  • Cytomegalovirus Retinitis is a result of a viral, herpes infection of the retina.
  • Highly prevalent as a cause of blindness within the AIDS infected population.[3]

Syphilis

  • Retinitis resulting from a syphilitic infection is commonly referred to as a ocular syphilis.
  • The infection persists as syphilitic spirochetes, Treponema pallidum, invade or cause allergic reactions within the surrounding tissue.[3]

Endogenous Fungal Infections

  • Two types of retina infections may occur depending on a mode of fungal infection. These two types our outlined as endogenous or exogenous.
  • Endogenous fungal retinitis is primarily a result of a disseminated fungal infection.
  • Exogenous fungal infections primarily occur as a result of a recent event such as physical injury or surgery.
  • Exogenous fungal infections are usually a result of Candidal retinitis. An infection commonly associated with candida chorioretinitis.
  • Candidas chorioretinitis is typically caused by the species Candida albicans.[3]

Tuberculosis

  • Extrapulmonary clinical manifestations of tuberculosis include intraocular caseating granulomas.
  • Infection of the retina is associated with the spread of the tuberculosis causing bacterial agents.
  • Common presentation of tuberculosis in the retina appears as multiple choroidal tubercles.
  • These tubercles are best defined as minor nodules with a grayish appearance.[3]

Toxoplasmosis

  • Toxoplasma gondii is a parasitic agent found in contaminated meat and egg products.
  • Persistence occurs within the vacuoles of cells found within tissues throughout the host.
  • Rupturing of tissue cysts with host cells may lead disease resulting in retinitis. This occurrence is mostly common within individuals who were previously immuno-compromised.[3]

References

  1. 1.0 1.1 Retinitis Pigmentosa. U.S. National Library of Medicine. https://www.genome.gov/13514348
  2. 2.0 2.1 2.2 Retinitis Pigmentosa. U.S. National Library of Medicine. https://www.nlm.nih.gov/medlineplus/ency/article/001029.htm
  3. 3.0 3.1 3.2 3.3 3.4 Infectious Retinitis: A Review. YACHNA AHUJA, MD · STEVEN M. COUCH, MD · RAYMUND R. RAZONABLE, MD · SOPHIE J. BAKRI, MD. http://www.retinalphysician.com/articleviewer.aspx?articleID=102293. Accessed April 13, 2016.

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