PMID- 38381160 OWN - NLM STAT- Publisher LR - 20240221 IS - 1435-702X (Electronic) IS - 0721-832X (Linking) DP - 2024 Feb 21 TI - Immune recovery uveitis: a focus review. LID - 10.1007/s00417-024-06415-y [doi] AB - Immune recovery uveitis (IRU) is an intraocular inflammation that typically occurs as part of immune reconstitution inflammatory syndrome (IRIS) in the eye. Typically, it affects human immunodeficiency virus (HIV)-infected patients with recognized or unrecognized cytomegalovirus (CMV) retinitis who are receiving highly active antiretroviral therapy (HAART). IRU is a common cause of new vision loss in these patients, and it manifests with a wide range of symptoms and an increased risk of inflammatory complications, such as macular edema. Recently, similar IRU-like responses have been observed in non-HIV individuals with immune reconstitution following immunosuppression of diverse etiologies, posing challenges in diagnosis and treatment. This review provides an updated overview of the current literature on the epidemiology, pathophysiology, biomarkers, clinical manifestations, diagnosis, differential diagnosis, and treatment strategies for IRU. CI - (c) 2024. The Author(s). FAU - Rodrigues Alves, Nuno AU - Rodrigues Alves N AUID- ORCID: 0009-0001-3329-1014 AD - Department of Ophthalmology, Unidade Local de Saude de Sao Jose, Centro Hospitalar Universitario Lisboa Central, Rua Jose Antonio Serrano, 1150-199, Lisbon, Portugal. nuno.al113@gmail.com. FAU - Barao, Catarina AU - Barao C AD - Department of Ophthalmology, Unidade Local de Saude de Sao Jose, Centro Hospitalar Universitario Lisboa Central, Rua Jose Antonio Serrano, 1150-199, Lisbon, Portugal. FAU - Mota, Catarina AU - Mota C AD - Department of Ophthalmology, Unidade Local de Saude de Sao Jose, Centro Hospitalar Universitario Lisboa Central, Rua Jose Antonio Serrano, 1150-199, Lisbon, Portugal. FAU - Costa, Livio AU - Costa L AD - Department of Ophthalmology, Unidade Local de Saude de Sao Jose, Centro Hospitalar Universitario Lisboa Central, Rua Jose Antonio Serrano, 1150-199, Lisbon, Portugal. AD - NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal. FAU - Proenca, Rita Pinto AU - Proenca RP AD - Department of Ophthalmology, Unidade Local de Saude de Sao Jose, Centro Hospitalar Universitario Lisboa Central, Rua Jose Antonio Serrano, 1150-199, Lisbon, Portugal. LA - eng GR - ana.quininha@chlc.min-saude.pt/FCCN/b-ON agreement with Springer Nature Open Choice Journal - Transformer Journal - Centro Hospitalar Universitario Lisboa Central/ PT - Journal Article PT - Review DEP - 20240221 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 SB - IM OTO - NOTNLM OT - Cytomegalovirus retinitis OT - Human immunodeficiency virus OT - Immune reconstitution inflammatory syndrome OT - Immune recovery uveitis OT - Uveitis EDAT- 2024/02/21 12:42 MHDA- 2024/02/21 12:42 CRDT- 2024/02/21 11:05 PHST- 2023/07/30 00:00 [received] PHST- 2024/02/11 00:00 [accepted] PHST- 2023/12/23 00:00 [revised] PHST- 2024/02/21 12:42 [medline] PHST- 2024/02/21 12:42 [pubmed] PHST- 2024/02/21 11:05 [entrez] AID - 10.1007/s00417-024-06415-y [pii] AID - 10.1007/s00417-024-06415-y [doi] PST - aheadofprint SO - Graefes Arch Clin Exp Ophthalmol. 2024 Feb 21. doi: 10.1007/s00417-024-06415-y.