[Ophthalmologic conditions of AIDS patients with long-term follow-up].
OBJECTIVE
To evaluate the ophthalmologic conditions of patients with AIDS, with long-term follow-up, previously evaluated by an ophthalmologist, considering general conditions related with AIDS.


METHODS
Observational study of 42 patients with AIDS divided into two groups: Group I: 8 patients with previous AIDS-related cytomegalovirus retinitis, Group II: 34 patients with AIDS without cytomegalovirus retinitis. Each patient had been submitted to one ophthalmologic examination. General data of the patients were obtained from the medical records.


RESULTS
The majority of the patients presented visual acuity in the best eye between logMAR 0.0 (68.3%) and 0.1 (26.9%). Optic prescription for refractive errors benefited 39.4% of the patients in Group II but none of the patients in Group I. Presbyopia was corrected in 27.3% of Group II and in 12.5% of Group I patients. No current ocular AIDS-related manifestations were detected in any group. Ocular posterior segment alterations, all of them consisting of retinitis / retinochoroiditis scars, were found in 10 patients, 7 (16.7%) belonging to Group I and 3 (7.1%) to Group II.


CONCLUSIONS
Ten (24.4%) patients presented visual alteration due to age. Except for the patients presenting previous retinitis and retinochoroiditis, all the other patients were in good ophthalmic conditions and most of them were in immunologic recovery due to the use of highly active antiretroviral therapy.
Vargas
Márcia Abelin
MA
Programa de Pós-Graduação em Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina, Universidade de São Paulo, Av. Bandeirantes 3900, Ribeirão Preto, SP, CEP 14049-900 Brazil. mavoftalmo@zipmail.com.br
Rodrigues
Maria de Lourdes Veronese
Mde L
Figueiredo
José Fernando de Castro
JF
Souza
Nivaldo Vieira de
NV
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005128:Eye Diseases / Q000188:drug therapy / Q000209:etiology*; D015817:Eye Infections / Q000188:drug therapy / Q000209:etiology; D005134:Eye Neoplasms / Q000209:etiology; D005260:Female; D005654:Fundus Oculi; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000188:drug therapy / Q000209:etiology; D012189:Retrospective Studies; D014792:Visual Acuity
D000900:Anti-Bacterial Agents