Fig. 5. Necrotizing herpetic retinopathy in a patient with Richter's syndrome. The specific virus was not identified, but the retinopathy responded to intravenous ganciclovir therapy. (From Levinson RD, Hooks JJ, Wang Y et al. Triple viral retinitis diagnosed by polymerase chain reaction of the vitreous biopsy in a patient with Richter syndrome. Am J Ophthalmol 1998;126:732.)