Keratoconus And Acquired Immunodeficiency Syndrome: A Challenging Case Of Contact Lens Fitting
Published 2023 - 41st Congress of the ESCRS
Reference: PP11.18 | DOI: 10.82333/w2xb-p715
Authors: Amira Bouayad* 1 , Chaimae Khodriss 1 , Achraf Alouadi 1 , Meriem elbahloul 1
1Department of Ophthalmology, University Hospital of Tangier,Faculty of Medicine and Pharmacy Tangier, Abdelmalek Essaâdi University, Tangier,Tangier,Morocco
To report the case of a patient with acquired immunodeficiency syndrome (AIDS) and who needs a fitting of contact lenses for the visual rehabilitation for keratoconus and to spread the aware for the importance of disinfection process during this practice.
Department of Ophthalmology, Mohamed VI university Hospital of Tangier, Morocco
A 18-year-old female presented to our ophthalmology department complaining of progressive blurred vision and decreased visual acuity in both eyes. After thorough anamnesis, the patient mentioned her follow-up for AIDS since birth. The best corrected visual acuity was +0.5logMaR in the right eye and +0.4logMaR in the left eye. Slit lamp examination revealed a central corneal scarring. Corneal topography was performed and the diagnosis of keratoconus grade IV was confirmed.
Considering that Human immunodeficiency virus (HIV) has been isolated in relatively all
body fluids, counting tears, even if in very small quantities. We decided to use the scleral diagnostic set for fitting. And the trial lenses were put in a 0.5% active chlorine solution for disinfection and then rinsed with the rinsing solution. A PCR study was suggested in lens storage fluid and until then we judged that the lenses could be used after 15 days.
The patient was referred later for corneal collagen cross-linking.
A contact lens fitting in an HIV positive patient is indeed more challenging than risky. Fortunately, HIV is one of the most easily inactivated viruses. To our knowledge, there are no documented cases of HIV transmission that may be related to contact lens practice.