Survey of Ophthalmology
Volume 49, Issue 2 , Pages 131-157, March 2004

Posterior segment manifestations of HIV/AIDS

  • Tamara R Vrabec, MD

      Affiliations

    • Corresponding Author InformationReprint address: Tamara R. Vrabec, MD, 3244 Midvale Avenue, Philadelphia, PA 19129, USA.

Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

Abstract 

The ocular posterior segment manifestations of AIDS may be divided into four categories: retinal vasculopathy, unusual malignancies, neuro-ophthalmologic abnormalities, and opportunistic infections. Microvasculopathy is the most common manifestation. Opportunistic infections, particularly cytomegalovirus retinitis and progressive outer retinal necrosis, are the most likely to result in visual loss due to infection or subsequent retinal detachment. Diagnosis and treatment are guided by the particular conditions and immune status of the patient.

Keywords:  AIDS, AIDS vasculopathy, cytomegalovirus (CMV) retinitis, HAART, immune recovery uveitis, optic neuropathy, retinal detachment

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 The author reported no proprietary or commercial interest in any product mentioned or concept discussed in this article, and she wishes to thank Gloria Parker, library technician, Wills Eye Hospital, for her assistance.

PII: S0039-6257(03)00182-6

doi:10.1016/j.survophthal.2003.12.008

Survey of Ophthalmology
Volume 49, Issue 2 , Pages 131-157, March 2004