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1: Seborrhoeic blepharitis Source: McCluskey PJ. HIV-related eye disease. In:G. Stewart (2 nd edition) Could it be HIV? Sydney: Australasian Medical Publishing Company Limited, 1994:30.
Source publication
An ocular complication at some point of their illness is a well known entity in AIDS patients. This chapter discusses a broad range of ocular complications that can occur with HIV infection. HIV-related eye conditions A broad range of ocular complications involving the adnexa, eyeball and nerves can commonly occur with human immunodeficiency virus...
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Purpose: We conducted the study to observe the change in infection patterns with the introduction of highly active antiretroviral therapy (HAART) and correlation of CD4 count with various ocular manifestations of acquired immune deficiency syndrome (AIDS). Design: This was a prospective observational cohort study. Methods: The study was conducted a...
Citations
A 26-year-old male diagnosed with AIDS came with sudden blurred vision and central sco-toma in left eye since 2 weeks before admission. His visual acuity was counting finger at 5 meters with normal IOP and anterior segment. The posterior segment revealed edematous optic nerve covered by exudates and hemorrhages. Due to low CD4+ count and serological test result, we considered a HIV-related opportunistic ocular infection, specifically HSV infection. As visual acuity worsened during treatment with acyclovir, we performed PCR ex-amination from aqueous tap which revealed positive CMV DNA. Unfortunately, the visual acuity had worsened to no light perception before he received any specific anti-CMV agent. CMV papillitis is an unusual presentation of CMV retinitis. PCR examination from aqueous or vitreous tap should be performed while waiting for serological test result, especially in doubtful cases. Therefore, appropriate diagnosis and management can be established early to prevent irreversible visual loss.
