Acessibilidade / Reportar erro

Ocular manifestations in acquired imunne deficiency syndrome (Aids)

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.

Conselho Brasileiro de Oftalmologia Rua Casa do Ator, 1117 - cj.21, 04546-004 São Paulo SP Brazil, Tel: 55 11 - 3266-4000, Fax: 55 11- 3171-0953 - São Paulo - SP - Brazil
E-mail: abo@cbo.com.br