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PURPOSE To report a case of neovascularization of the disk and vitreous hemorrhage associated with cytomegalovirus retinitis in an HIV-positive man on highly active antiretroviral therapy. METHODS Clinical examination by fellowship-trained retina specialist, including fundus photography and fluorescein angiography. RESULTS A 44-year-old HIV-positive man with known history of cytomegalovirus retinitis subsequently developed neovascularization of the disk and vitreous hemorrhage after the initial treatment. This was treated with panretinal photocoagulation and responded well to treatment. CONCLUSION Neovascularization of the disk and vitreous hemorrhage are rare but important sequelae of cytomegalovirus retinitis in the HIV-positive population.

BACKGROUND AND PURPOSE This report discusses a patient with a predictably and repetitively favorable anatomic and functional response to intravitreal triamcinolone for radiation-induced macular edema. The purpose of this report is to demonstrate a situation where this treatment may have a favorable outcome over time. METHOD Retrospective interventional case study. RESULT Restoration of normal macular contour as well as maintenance of good vision after several treatments with intravitreal triamcinolone. CONCLUSION Intravitreal triamcinolone is a well-established treatment for macular edema. In the vast majority of cases, its effect is transient, and additional treatments are necessary. It is important to realize that, in certain cases which are effectively treated with this modality, it may allow for preservation of good vision over time. One must be vigilant for the known complications of intravitreal triamcinolone, especially increased intraocular pressure and cataract progression.