OPHTHALMOLOGICAL DAMAGE DURING HIV INFECTIONS: ABOUT 30 CASES
Published 2024 - 28th ESCRS Winter Meeting
Reference: P187 | Type: Submission | DOI: 10.82333/f0gb-r943
Authors: Lamia Ajdour* 1 , zineb hammoumi 1 , assia elharrar 1 , zyad laftimi 1 , ghizlane daghouj 1 , loubna elmaaloum 1 , bouchra allali 1 , asmaa elkettani 1
1pediatric ophtalmology department,20 august hospital,casablanca,Morocco
Purpose
the aim of our work is to recognize ocular damage during retroviral infection in order to manage it
Setting
retrospective study
Methods
-During the study period, 80 new patients with HIV infection underwent a complete ophthalmological examination. Ocular involvement was objectified in 30 patients, a prevalence of 37.5%.
- The average age of the patients was 39 years. The sex ratio was 1.5 with a slight female predominance. Married patients accounted for 40%.
- The majority of patients were found to be carrying HIV infection during suggestive clinical symptoms (35%). The mean CD4 count was 53 cells/mm3 at diagnosis.
Results
-Ocular involvement was indicative of HIV infection in 40% of patients.
The objectified anterior segment abnormalities were: two cases of ophthalmic shingles, one case of palpebral kaposi's sarcoma, two cases of acute anterior uveitis, two cases of herpetic keratitis, and one case of corneal abscess. The evolution was favorable in 56% of cases.
Posterior segment abnormalities were predominant with a high frequency of CMV retinitis (66.5%), followed by ocular abnormalities directly related to HIV (26.7%) and toxoplasma chorioretinitis (6.8%).
Conclusion
Eye damage is a very important opportunistic disease related to HIV infection. Their frequency varies from country to country. HIV serology should be systematic for certain suggestive ophthalmological conditions. As in all HIV-positive patients, ophthalmological examination should be part of the initial assessment and regular follow-up of HIV patients.