Ocular Diseases in HIV/AIDS

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2007-02-28 DOI:10.4314/NJSSCI.V16I2.38385

B. Adegbehingbe, O. Olasode

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A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. \nThis study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. \nConfirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. 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引用次数: 2

Abstract

This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. Keywords : This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. Keywords : Eye, HIV/AIDS, Suspicion Nigerian Journal of Surgical Science Vol. 16 (2) 2006: pp. 47-53

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艾滋病毒/艾滋病中的眼部疾病

本研究评估了疑似人群中HIV血清阳性的流行情况，并描述了在Ile-Ife的Obafemi Awolowo大学教学医院综合体眼科诊所就诊的患者的眼部表现。11例(28.9%)患者通过血清学试验确诊HIV/AIDS。11例HIV/AIDS阳性患者年龄16 ~ 56岁，平均年龄32±2.7岁。男性7人，女性4人，男女比例为1.8:1。在11例被索引的患者中，1例结膜鳞状细胞癌与获得性免疫缺陷综合征相关;另有4例(36.4%)为带状疱疹性眼炎(男3例，女1例)、单纯疱疹性角膜炎(1例)、外直肌麻痹及相关视神经萎缩(1例)、葡萄膜炎(2例)、单眼泛葡萄膜炎合并虹膜红肿(1例)、视网膜病变(2例)。本研究显示，在高危患者中，疑似感染HIV/AIDS的患者中，实际感染的患者比例显著。在眼科患者中诊断HIV/AIDS需要高度的怀疑指数。关键词:本研究评估了疑似人群中HIV血清阳性的患病率，并描述了在Ile-Ife奥巴费米·阿沃洛沃大学附属教学医院眼科诊所就诊的患者的眼部表现。11例(28.9%)患者通过血清学试验确诊HIV/AIDS。11例HIV/AIDS阳性患者年龄16 ~ 56岁，平均年龄32±2.7岁。男性7人，女性4人，男女比例为1.8:1。在11例被索引的患者中，1例结膜鳞状细胞癌与获得性免疫缺陷综合征相关;另有4例(36.4%)为带状疱疹性眼炎(男3例，女1例)、单纯疱疹性角膜炎(1例)、外直肌麻痹及相关视神经萎缩(1例)、葡萄膜炎(2例)、单眼泛葡萄膜炎合并虹膜红肿(1例)、视网膜病变(2例)。本研究显示，在高危患者中，疑似感染HIV/AIDS的患者中，实际感染的患者比例显著。在眼科患者中诊断HIV/AIDS需要高度的怀疑指数。本研究评估了疑似人群中HIV血清阳性的流行情况，并描述了在Ile-Ife的Obafemi Awolowo大学教学医院综合体眼科诊所就诊的患者的眼部表现。11例(28.9%)患者通过血清学试验确诊HIV/AIDS。11例HIV/AIDS阳性患者年龄16 ~ 56岁，平均年龄32±2.7岁。男性7人，女性4人，男女比例为1.8:1。在11例被索引的患者中，1例结膜鳞状细胞癌与获得性免疫缺陷综合征相关;另有4例(36.4%)为带状疱疹性眼炎(男3例，女1例)、单纯疱疹性角膜炎(1例)、外直肌麻痹及相关视神经萎缩(1例)、葡萄膜炎(2例)、单眼泛葡萄膜炎合并虹膜红肿(1例)、视网膜病变(2例)。本研究显示，在高危患者中，疑似感染HIV/AIDS的患者中，实际感染的患者比例显著。在眼科患者中诊断HIV/AIDS需要高度的怀疑指数。本研究评估了疑似人群中HIV血清阳性的流行情况，并描述了在Ile-Ife的Obafemi Awolowo大学教学医院综合体眼科诊所就诊的患者的眼部表现。11例(28.9%)患者通过血清学试验确诊HIV/AIDS。11例HIV/AIDS阳性患者年龄16 ~ 56岁，平均年龄32±2.7岁。男性7人，女性4人，男女比例为1.8:1。在11例被索引的患者中，1例结膜鳞状细胞癌与获得性免疫缺陷综合征相关;另有4例(36.4%)为带状疱疹性眼炎(男3例，女1例)、单纯疱疹性角膜炎(1例)、外直肌麻痹及相关视神经萎缩(1例)、葡萄膜炎(2例)、单眼泛葡萄膜炎合并虹膜红肿(1例)、视网膜病变(2例)。本研究显示，在高危患者中，疑似感染HIV/AIDS的患者中，实际感染的患者比例显著。在眼科患者中诊断HIV/AIDS需要高度的怀疑指数。关键词:眼睛，艾滋病毒/艾滋病，怀疑尼日利亚外科杂志Vol. 16 (2) 2006: pp. 47-53

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Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons

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