Upload
issolus
View
167
Download
2
Embed Size (px)
DESCRIPTION
an intro
Citation preview
1
AIDS
CD4+ T lymphocytes <500/ml; Kaposi Sarcoma, TB
CD4+ T lymphocytes <250/ml; toxoplasmosis
CD4+ T lymphocytes <50/ml; CMV retinitis
Kaposi Sarcoma
TB uveitis
Toxoplasmosis
CMV retinitis
Herpes zoster ophthalmicus
Candida endophthalmitis
By: ismah haron
2
KAPOSI SARCOMA
Painless vascularized tumor – herpesvirus type 8
Eyelid skin, eyelid margin & conjunctiva
Slow growing & rarely invasive
Rx: exision/ focal radiation theraphy
Indication for rx: cosmetic/ disturb vision
25% in HIV patients
3
TB UVEITIS
Anterior uveitis
Photophobia, tearing, eye pain, decreased
vision
Accompanied by constitutional symptoms of
TB
Culture for M. tuberculosis
Anti TB drugs
4
TOXOPLASMOSIS
T. gondii remains within an inactive
chorioretinal scar
Reactivation in HIV – toxoplasmic
chorioretinitis
Serology detection via indirect
hemagglutination assay
5
CMV RETINITIS
Reactivation of CMV, 5 to 10% of AIDS patients in
developing countries
Floaters, photophobias, visual loss w/o eye pain or
red eye
Rapidly progressive (destroyed the whole retina
within 6 months)
Cx: RV/RA occlusion and retinal detachment
Ix: + conjunctival swab, PCR to confirm
Rx: drugs – ganciclovir, foscarnet (IVOral, SE?)
6
7
HERPES ZOSTER OPHTHALMICUS
Reactivation of VZV infection
5 to 15 % of HIV patients
Can affect either eyelids, cornea,
sclera, iris, retina
Vesicular rashes burst crusting
ulcers
Rx: IV/ oral acyclovir, gentian violet
1% bd
8
9
CANDIDA ENDOPHTHALMITIS
Candida Albicans
Symptoms: red eye, scotoma, floaters, eye
pain, photophobia
Fundoscopy: Fluffy white retinal lesion with
white snowball-like vitreous opacities
Anti fungal e.g. amphothericin BTHANK YOU