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Management and Outcome in Hiv Patients with Oppurtuinistic Infections

Aliya Sultana, Assistant Professor, Sarojini Devi Eye Hospital, Osmania Medical Collge, Hyderabad, Telangana 500095, India , Aliya Sultana1 , B. Lakshmi Reddy2

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Ophthalmology and Allied Sciences 4(2):p 72-76, May - August 2018. | DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.4218.3

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Abstract

Background: Morbidity and mortality in HIV patients is supposed to be more due to the various opportunistic infections in them and hence management of these infections and their outcome is essential. Ocular infections may cause impairment of vision or blindness. Aim of the Study: To detect the outcome after management of HIV patients who presented to the department of ophthalmology with various opportunistic infections. Materials and Methods: A retrospective study was done on HIV patients who

reported to the department of ophthalmology with various infections from June 2015 to June 2016 at Sarojini Devi Eye Hospital, Hyderabad, India. A detailed systemic and ophthalmology examination was carried out on all the patients. Demographic data,
visual acuity, slit lamp examination, indirect opthalmoscopy, colour charting and CD4 count were noted from the hospital records. Results: We found patients with cytomegalovirus (CMV retinitis), Acute retinal necrosis (ARN), toxoplasma retino chroiditis and subretinal tuberculous abscess were usually seen in our study. Patients with good general condition responded better to our treatment. Bilaterally affected patients were more than unilateral affected ones. Elderly patients had lower CD4 count and poor general condition. Conclusion: There is a need for having an ophthalmologist for screening in all HARRT centres. But in circumstances where clinical findings will emulate other infections, PCR analysis can help in finding the cause 
 
Keywords: Acute Retinal Necrosis; CD4; Cytomegalovirus Retinitis; HIV; Gangcyclovir; PCR.

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DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.4218.3

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