Diagnostic test accuracy of teleretinal screening for cytomegalovirus retinitis among people living with HIV: A systematic review and meta-analysis.

The Cochrane Library, PubMed, CINAHL, Scopus, and Web of Science were searched on March 1, 2025.

Subgroup analyses suggested higher sensitivity among populations with lower CD4 cell count thresholds.

Sensitivity analysis showed no significant changes after excluding studies with a high risk of bias.

Nonetheless, further high-quality studies in diverse lower-resource settings are needed to strengthen the evidence base and guide scalable implementation within HIV care systems.