Clinical study of ophthalmological manifestations in HIV positive patients attending tertiary care hospital
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 2
Abstract
Background: HIV causes a wide spectrum of diseases and it is a multisystem disorder. The ophthalmic disease does affect 70-80% of the patients with HIV infection. Ocular manifestations may be the initial presentation of a systemic infection in an asymptomatic HIV positive patient. Aim: To study the ophthalmological manifestations in HIV positive patients attending tertiary care hospital. Material and Methods: All 120 cases of HIV infected and AIDS patients on HAART were included in the study. Detailed history and examination of the eye (adnexae with extraocular structures, anterior and posterior segment, visual acuity) was undertaken along with routine laboratory investigations. Results: The estimated prevalence of ophthalmic manifestations associated with HIV infection was found to be 40.83%. Adnexal manifestations were found in 10.8% patients. Most common being conjunctival microvasculopathy in 4.2% patients. Anterior segment manifestations were found in 13.3% patients. Most common being keratoconjunctivitis sicca in 5.8% patients. Posterior segment manifestations were found in 11.7 % patients. Most common being HIV retinopathy in 9.2% patients. Neuro-ophthalmological manifestations were found in 4.2% patients. Most common being optic atrophy in 1.7% patients. Conclusion: The prevalence of ocular manifestations in our study was higher and most of the ocular manifestations were asymptomatic. Our study highlights the need for a routine ophthalmological screening of all HIV seropositive patients regardless of their immune status.
Authors and Affiliations
U S Mohite, Ashfaq Sayed
Keywords
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- EP ID EP536192
- DOI 10.26611/1009924
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