Alterações oculares na síndrome da imunodeficiência adquirida (Aids)

Alterações oculares na síndrome da imunodeficiência adquirida (Aids)

Autores:

Luiz Adolfo Elia,
Teruo Aihara,
Carlos Ramos de Souza-Dias

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.53 no.6 São Paulo nov./dez. 1990

http://dx.doi.org/10.5935/0004-2749.19900006

SUMMARY

We have examined 60 patients with Acquired Immune Deficiency Syndrome (Aids), 56 males and 4 females. The most frequent risk was the homossexual or bissexual males group (70%). Over than 50% of the patients complained about blurred vision, scotomas and decreased visual acuity. Visual signs were more frequent in patients of group IV (71,6%) of the Centers for Disease Control classification.

The most frequent finding, on the eye external examination, was dilation of conjunctival blood vessels, which was present in 21 patients (35%). Of those, 13 patients belonged to group IV.

In patients with decreased visual acuity, we found retinal changes like cotton wool spots, superficial haemorrhages, vasculitis, citomegalovirus retinitis and vitreo-retinal haemorrhees. The majority of those patients belonged lo Group IV.

Our most frequent finding was the dilatation of retinal venous vessels, which was present in 65% of the examined eyes. ln our opinion this finding should be considered a valious element in the early Aids diagnosis.

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