Training HIV clinicians in eye examination to diagnose cytomegalovirus retinitis

David Heiden, NiNi Tun, Ernest Maningding, Matthew Heiden, Jennifer Rose-Nussbaumer, Khin Nyein Chan, Tamara Khizniak, Alexandra Yakubenko, Susan Lewallen, Jeremy D Keenan, & Peter Saranchuk

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.

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