Ocular manifestations in HIV-AIDS: Analysis of 100 patients in the Hospital of San José Manifestaciones oculares en VIH-SIDA: Análisis de 100 pacientes en el Hospital de San José

Abstract

Objective: to establish which are the ocular manifestations (of the anterior and posterior segments) most common in patients with VIII-AIDS in the Hospital of San José and correlate them with the markers of activity of the disease and the reports of the world literature.
Design: descriptive, prospective type of research work.
Participants: 100 patients belonging to the VIII - AIDS program of the Infectious Disease Service of the Hospital of San José. Main measurements: external examination, visual acuity, biomicroscopy examination (including cornea and anterior segment) and fundus examination. The findings were recorded in a table designed for this purpose.
Results: Of the 100 patients examined, one was documented with molluscum contagiosum, two with styes, six with blepharitis, one corneal ulcer with bacterial characteristics, one with nonspecific stromal keratitis, three with retinopathy for VIII, one patient with cytomegalovirus retinopathy (bilateral) and one with retinocoroiditis scar due to toxoplasmosis.
Conclusions: unlike the world literature, cytomegalovirus retinitis was not the most common finding of the posterior segment in the population of our hospital (only 1%), as were manifestations of HIV retinitis (exudates, vascular sheathing, etc.). As for the anterior segment and the cornea, a bacterial characteristic corneal ulcer was observed, which has not been reported in the world literature as a finding of HIV - AIDS infection, as well as styes and blepharitis. Diseases such as molluscum contagiosum and nonspecific keratitis are related in the literature to this disease. No tumor pathology was found in the series studied.