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M94A2909.TXT
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1994-10-25
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Document 2909
DOCN M94A2909
TI Is routine ophthalmological study in VIH patients profitable?
DT 9412
AU Munoz JJ; Artiaga E; Tana P; Carrasco JM; Vidal T; Portilla J; Boix V;
Belmonte J; Servicio de Oftalmologia, Hospital General Universitario de;
Alicante, Spain.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):197 (abstract no. PB0215). Unique
Identifier : AIDSLINE ICA10/94369666
AB OBJECTIVE. Evaluation of routine ophthalmological investigations in CDC
stage IV HIV + patients admitted to the Infections Diseases Unit of our
hospital, without ophthalmological signs or symptoms. To show the
relationship between the ocular pathology found and the cause of
hospital admission. MATERIAL AND METHODS. Between April 1992 and
December 1993 routine fundus examination under mydriasis was performed
on 145 patients (a total of 259 examinations). RESULTS. The commonest
causes of admission were fever (29.3%), respiratory symptoms (13.49%)
and constitutional syndrome (12.7%). Ocular pathology was found in 46.7%
of the patients, of these, 72.13% had non-infections retinal
microangiopathy and 22.95% infectious pathology. Thirteen cases of CMV
retinitis, five cases of ARN and four cases of tuberculous choroiditis
were diagnosed, only the latter 4 patients showed signs of related
systemic pathology (disseminated miliary tuberculosis). The extra
workload involved was two hours per week. CONCLUSIONS. In view of the
minimal workload involved, and the necessity of early treatment of eye
infections in AIDS patients for the conservation of vision, we consider
that routine ophthalmological examination is extremely valuable.
DE AIDS-Related Opportunistic Infections/DIAGNOSIS Choroiditis/DIAGNOSIS
Cytomegalovirus Retinitis/DIAGNOSIS Diagnostic Tests, Routine Eye
Diseases/COMPLICATIONS/*DIAGNOSIS Human HIV Infections/*COMPLICATIONS
Retinal Vessels/PATHOLOGY Tuberculosis, Miliary/COMPLICATIONS
Tuberculosis, Ocular/DIAGNOSIS MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).