To the Editor: In their article “Ocular Findings of Acute Cytomegalovirus Infection in an Immunologically Competent Adult,” England et al. (July 8 issue)1 reached conclusions that should not be accepted by ophthalmologists or other physicians without comment. Although the authors carefully worded the title of the article, they made the statement in the last paragraph that their patient had “reversible retinitis.” In actuality, the only retinal finding that they described was the presence of cotton-wool spots. Such lesions represent accumulations of axoplasm that are often related to local retinal ischemia.2,3 One may sometimes be able to demonstrate occlusion of the.
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