Anterior segment findings in AIDS patients with cytomegalovirus retinitis

Autor: Body, Jill M., Butrus, Salim I., Laby, Daniel M., Ashraf, M. Farooq, Rabinowitz, Andrew I., Parenti, D. M.
Zdroj: Graefe's Archive for Clinical and Experimental Ophthalmology; June 1995, Vol. 233 Issue: 6 p374-376, 3p
Abstrakt: • Background: Anterior segment findings in AIDS patients presenting with cytomegalovirus (CMV) retinitis have not been specifically addressed in the American literature. • Methods: Our study evaluated 21 AIDS patients with CMV retinitis. • Results: Nineteen (90%) of these patients exhibited corneal endothelial deposits concurrent with CMV retinitis. The endothelial deposits were microscopic, opaque, linear flecks arranged in a reticular-like fashion. Of 42 eyes evaluated, 32 (76%) demonstrated active CMV retinitis. Corneal endothelial deposits were noted in 26 (81%) of the 32 eyes with retinitis. These corneal endothelial deposits were absent in the eyes which did not have CMV retinitis. • Conclusion: Meticulous examination of the retina of an HIV-positive or AIDS patient who presents with reticularly arranged, linear, flecked corneal endothelial deposits should be performed to ensure that the diagnosis of CMV retinitis can be ruled out.
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