Retinitis secondary prevention

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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

Secondary prevention strategies following retinitis depend on the underlying cause of infection. Severity of genetic disorders may be lessened through vitamin therapy and reduced sunlight exposure.[1] Meanwhile, prophylactic treatment may be prescribed to stunt the progression of viral, bacterial, fungal, and parasitic variations of retinitis.[2][3][4][5]

Secondary Prevention

Retinitis Pigmentosa

  • Secondary prevention includes slowing the progression of the disease. This may be achieved through the implementation of Vitamin A therapies as well as wearing prescription sunglasses in order to prevent exposure to harmful Ultraviolet light. [6]

Cytomegalovirus

  • Prophylactic therapy is primarily dependent on antiretroviral therapy (ART).[2]

Tuberculosis

  • Further screening and skin testing to to check for progression or presence of tuberculosis.[3]

Fungal Infections

  • Regular check ups with primary care physician in order to reduce potential progression of disease.
  • Prophylactic treatment in the form of antifungal medication such as fluconazole, voriconazole, and amphotericin B.[7]

Ocular Syphilis

  • Prophylactic treatment in the form of antibiotic therapy and consistent check ups.[4]

Toxoplasmosis

  • Antimicrobial regimen[5]

References

  1. Retinitis Pigmentosa Treatment. American Academy of Ophthalmology. http://www.aao.org/eye-health/tips-prevention/retinitis-pigmentosa-treatment. Accessed April 19, 2016.
  2. 2.0 2.1 Cytomegalovirus Prevention. Center for Disease Control and Prevention. http://www.cdc.gov/cmv/prevention.html
  3. 3.0 3.1 "CDC Tuberculosis Infection Control and Prevention".
  4. 4.0 4.1 Sexually Transmitted Diseases. Centers for Disease Control and Prevention. http://www.cdc.gov/std/syphilis/ Accessed on April 19, 2016.
  5. 5.0 5.1 Parasitic Diseases. Centers for Disease Control and Prevention. http://www.cdc.gov/parasites/toxoplasmosis/prevent.html Accessed on April 19, 2016.
  6. Retinitis Pigmentosa Treatment. American Academy of Ophthalmology. http://www.aao.org/eye-health/tips-prevention/retinitis-pigmentosa-treatment. Accessed April 19, 2016.
  7. Fungal Eye Infections. Center for Disease Control and Prevention. http://www.cdc.gov/fungal/diseases/fungal-eye-infections/ Accessed April 20, 2016.


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