Table 1.1 Ocular manifestations of HIV infection
Category Examples
HIV retinopathy, large-vessel occlusions
Infectious keratitis, cytomegalovirus retinitis, toxoplasmosis,
necrotizing herpetic retinopathy
Kaposi’s sarcoma, non-Hodgkin’s lymphoma
Infectious meningitis and encephalitis, central nervous system
Antiviral medication toxicity Didanosine retinopathy

Fig. 1.1

Acquired immune deficiency system (AIDS) retinopathy.

mellitus or hypertension, should always be considered. HIV-positive individuals with diabetes mellitus may deveiop more severe HIV retinopathy.

Advice HIV retinopathy usually resolves without treatment within 1-2 months. The prognosis of opportunistic ocular infections has improved with advances in antiviral therapy. Many patients can be expected to live longer than 1 year, and maintenance antibiotic therapy may not always need to be continued indefinitely.

Review hllV-positive patients with T previously documented HIV retinopathy or opportunistic ocular infections should be U reviewed at least every 3 months.

Further reading Vrabec TR. Posterior segment manifestations of HIV/AIDS. Surv Ophthalmol 2004; 49:131-157.

Acquired immune deficiency syndrome (AIDS)