[Acute bilateral glaucoma in an LAV-positive subject].
A bilateral angle-closure glaucoma is described in a homosexual man, with a positive HIV serology. This angle closure is secondary to an anterior rotation of the ciliary body at the scleral spur following development of an inflammatory cilio-choroidal detachment: which is itself connected with a massive uveal-retinal effusion. The cause of this uveal effusion appears to be cytomegalovirus. This unusual syndrome was the initial manifestation of AIDS (Acquired Immune Deficiency Syndrome). A symptomatologic treatment with cycloplegics and prednisolone and a specific one with DHPG (9-1, 3-dihydroxy-2-propoxymethyl guanine), resulted in rapid regression of the local lesions; his overall clinical condition however deteriorated rapidly over two months following onset of syndrome.
Meige
P
P
Cohen
H
H
Morin
B
B
Athlani
A
A
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D002833:Choroiditis / Q000209:etiology; D003586:Cytomegalovirus Infections / Q000150:complications*; D015828:Eye Infections, Viral / Q000150:complications*; D015812:Glaucoma, Angle-Closure / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012166:Retinal Hemorrhage / Q000209:etiology; D014605:Uveitis / Q000209:etiology
Glaucome aigu bilatéral chez un sujet LAV positif.