Simultaneous cytomegalovirus retinitis and central retinal vein occlusion of a heart transplant recipient

Cytomegalovirus (CMV) retinitis after heart transplantation is well documented, but few cases of central retinal vein occulusion (CRVO) have been described in these patients. A man seropositive to CMV antigen after heart transplantation received prophylactic ganciclovir therapy. Nevertheless, cytomegalovirus retinitis developed and CRVO was diagnosed in his other eye. Common risk factors for retinalvein occlusion were excluded., Cytomegalovirus infection may have played a role in the pathogenesis of CRVO.