Alterações oculares na síndrome da imunodeficiência adquirida (Aids)

Alterações oculares na síndrome da imunodeficiência adquirida (Aids)


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


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


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.


1 HUMPHRY, R.C., PARKIN, J.M. & MARSH, R.J.: The ophthalmological features of AIDS and AIDS related disorders. Transaction of Ophthalmol Soc U.k., 105: 505-9, 1986.
2 Centers for Diseases Control, V.S. Department of Health and Human Services; Atlanta, Georgia: Classification System for Human T-Lymphotropic Virus Type III/Lymphadenopathy - Associated Vírus Infections. Annals of Internal Medicine, 105: 234-7, 1986.
3 McLEAN, I: AIDS-ocular. Trabalho apresentado no Simpósio Panamericano de Patologia Ocular, São Paulo, 1988.
4 FREEMAN, W.R.: A prospective study of the ophthalmologic findings in the acquired immune deficiency syndrome. Am J Surgery, 152: 403-6, 1986.
5 HELPER, J.: Inital manifestation of acquired immuno deficiency syndrome in the neck region. Am J Surgery, 152: 403-6, 1986.
6 OREFICE, F. & BELFORT Jr., : AIDS, in Uveítes, 1ª ed., Editora Roca, São Paulo, 1987, pág. 323-30.
7 MINES, J.A. & KAPLAN, H.J.: Acquired Immuno Deficiency Syndrome (AIDS): The disease and its ocular manifestations. Intern. Ophthalmol Clin, 16 (2): 73-115, 1986.
8 ENGSTROM, R.E. & HOLLAND, G.N.: Chronic herpes zoster virus keratitis associated with the acquired immuno deficiency syndrome, Am J Ophtalmol, 105: 556-8, 1988.
9 TEICH, S.A.: Conjunctival vascular changes in AIDS and AIDS-related complex. Am J Ophthalmol, 103 (3Pt-1): 332-3, 1987.
10 HAMED, L.M.; SCHATZ, N.J. & GALLET A, S.L.: Brainstem ocular motility defects and AIDS. Am J Ophthalmol, 106: 437-42, 1988.
11 PASCHOAL, M.A.V.: Manifestações oculares da AIDS (uma revisão bibliográfica). Revista Brasileira de Oftalmologia, 48 (1): 36, 1989.
12 ENGSTROM Jr., R.E. & cols.: Hemorheologic abnormalities in patients with Human Immunodeficiency Virus Infection and ophtahlmic microvasculopathy. Am. J. Ophthalmol, 109: 153-61, 1990.
Política de Privacidade. © Copyright, Todos os direitos reservados.