title: Macular ischemia as a cause of decreased vision in a patient with acquired immunodeficiency syndrome.
abstract: 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.
authors.affiliation: Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110-1096, USA. Lakduman@pol.net
authors.forename: L
authors.initials: L
authors.lastname: Akduman
authors.forename: M A
authors.initials: MA
authors.lastname: Feiner
authors.forename: R J
authors.initials: RJ
authors.lastname: Olk
authors.forename: H J
authors.initials: HJ
authors.lastname: Kaplan
mesh_terms: 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