Macular ischemia as a cause of decreased vision in a patient with acquired immunodeficiency syndrome.
OBJECTIVE
To report macular ischemia as a cause of decreased vision in a patient with acquired immunodeficiency syndrome (AIDS).


METHODS
A 50-year-old man with AIDS who had previously diagnosed human immunodeficiency virus retinopathy and peripheral cytomegalovirus retinitis was initially examined with decreased vision in both eyes. He underwent complete systemic and ocular evaluation, fundus photography, and fluorescein angiography.


RESULTS
Fluorescein angiography disclosed irregular enlargement of the foveal avascular zone in both eyes.


CONCLUSIONS
Macular ischemia may cause decreased vision in patients with AIDS and can be detected by fluorescein angiography.
Akduman
L
L
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110-1096, USA. Lakduman@pol.net
Feiner
M A
MA
Olk
R J
RJ
Kaplan
H J
HJ
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D017726:Cytomegalovirus Retinitis / Q000150:complications*; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007511:Ischemia / Q000150:complications* / Q000473:pathology; D008266:Macula Lutea / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012171:Retinal Vessels / Q000473:pathology*; D014786:Vision Disorders / Q000209:etiology*; D014792:Visual Acuity