Introduction:HIV infection is associated with a wide variety of ophthalmic manifestations.
The objective of this study was to identify the ocular complications of HIV/AIDS in Morocco.
Material and methods:
A retrospective study conducted in the internal medicine department
of the Rabat Teaching Hospital between 1998 and 2008. All HIV-positive patients were retained
for the study. Each patient had an exhaustive ocular examination.
Of 115 ophthalmologic examinations, 28 were abnormal. Twenty-seven patients had
stage C HIV infection and one patient was in stage A. The ocular manifestations were: 21 cases
of ocular HIV-related anomalies (microangiopathies), four cases of cytomegalovirus (CMV)
retinitis, one case of toxoplasmosis chorioretinitis, one case of CMV retinitis associated with
toxoplasmosis chorioretinitis, two cases of
infection, two cases of
varicella-zoster virus (VZV) retinitis, and one case of conjunctival Kaposi sarcoma.
The CD4 count average was of 86 ? 91/mm?. Twenty-six patients had a CD4 count lower than 200/mm?. Progression was favorable
in 85% of the cases, with three cases of blindness: bilateral in a case of VZV retinitis and unilateral in two cases of CMV retinitis and
CMV infection is the main ocular opportunistic infection in our series. However, Highly Active Anti-retroviral
Treatment (HAART) may be the cause for the decline in the prevalence of ocular diseases and visual impairment in HIV/AIDS.
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