Training HIV clinicians in eye examination to diagnose cytomegalovirus retinitis
Published in Bulletin of the World Health Organization;
Problem: Acquired immunodeficiency syndrome (AIDS)-related cytomegalovirus (CMV)
retinitis continues to be a neglected source of blindness in resource-poor settings. The
main issue is lack of capacity to diagnose CMV retinitis in the clinical setting where
patients receive care and all other opportunistic infections are diagnosed.
Approach: We developed and implemented a four-day workshop to train clinicians working in human immunodeficiency virus (HIV) clinics how to perform binocular indirect ophthalmoscopy and diagnose CMV retinitis. Workshop s comprised both classroom didactic instruction and direct clinical eye examinations in patients with advanced AIDS. Between 2007 and 2013, 14 workshops were conducted in China, Myanmar and the Russian Federation.