Recommendations
| Dosage | Remarks | |
|---|---|---|
|
aciclovir iv 10 mg/kg 3 times daily 10 to 14 days
followed by valaciclovir po 1000 mg 3 times daily 4 to 6 weeks |
With good clinical response an early switch from aciclovir to valaciclovir may be made |
| Dosage | Remarks | |
|---|---|---|
|
aciclovir iv 10 mg/kg 3 times daily
|
PLUS intravitreal ganciclovir (2 mg/0.1 ml) OR PLUS intravitreal foscarnet (2.4 mg/0.1 ml); first choice when aciclovir resistance is suspected |
Secondary prophylaxis may be considered in consultation with a specialist and will partly depend on the immunodeficiency.
The presentation can sometimes be difficult to distinguish from CMV retinitis. If in doubt, start with ganciclovir (see CMV retinitis)