title: [Ophthalmological manifestations in AIDS: evaluation of 445 patients in one year].
abstract: The authors prospectively evaluated 445 HIV positive patients for the presence of ophthalmological manifestations. PURPOSE--To evaluate patients HIV positive with or without AIDS and correlate the data with the ocular findings mentioned in the literature. METHODS--445 HIV positive patients (66% with AIDS) were evaluated in one year at the Paulista School of Medicine, São Paulo Hospital, Brazil. There was a predominance of males (87%) and homosexuals (58.2%). RESULTS--Of the 445 patients, 52% presented ocular findings secondary to HIV infection at the first examination. The diagnosis included: CMV retinitis (25%), ocular toxoplasmosis (8.5%), herpes retinitis (3.6%), papilledema (2.2%), optic atrophy (1.6%), phthisis bulbi (1.5%), multifocal choroiditis (1.2%), retinal hemorrhages (0.9%), syphilitic uveitis (0.6%) and central vein occlusion (0.2%). CONCLUSION--The incidence of ophthalmic manifestations of AIDS in Brazil is similar to that found in the international literature. We found though a higher incidence of ocular toxoplasmosis than that in other countries. No ocular pneumocystosis was presents in the population evaluated by us.
authors.affiliation: Departamento de Oftalmologia da Escola Paulista de Medicina, São Paulo.
authors.forename: C
authors.initials: C
authors.lastname: Muccioli
authors.forename: R
authors.initials: R
authors.lastname: Belfort Júnior
authors.forename: C
authors.initials: C
authors.lastname: Lottenberg
authors.forename: J
authors.initials: J
authors.lastname: Lima
authors.forename: P
authors.initials: P
authors.lastname: Santos
authors.forename: M
authors.initials: M
authors.lastname: Kim
authors.forename: M T
authors.initials: MT
authors.lastname: de Abreu
authors.forename: R
authors.initials: R
authors.lastname: Neves
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000453:epidemiology*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D005128:Eye Diseases / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008297:Male; D011446:Prospective Studies
vernacular_title: Achados oftalmológicos em AIDS: avaliação de 445 casos atendidos em um ano.