Peripheral ulcerative keratitis and central retinal vein occlusion as the initial manifestation of HIV infection.
OBJECTIVE
To report a case of peripheral ulcerative keratitis and central vein occlusion as the initial manifestation of HIV infection.


METHODS
Case report.


RESULTS
A 46-year-old male presented with history of pain, redness, and diminished vision of left eye. Examination revealed left eye peripheral ulcerative keratitis (PUK) and right eye central retinal vein occlusion (CRVO). The patient was found to be positive for HIV on serological evaluation.


CONCLUSIONS
Atypical ophthalmic manifestations may be the initial presenting feature in patients with HIV infection. This highlights the need for increased index of suspicion for HIV infection in young patients with PUK and/or CRVO.
Gharai
Sujit
S
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. drsujitaiims@gmail.com
Venkatesh
Pradeep
P
Tandon
Radhika
R
Garg
Satpal
S
D003320:Corneal Ulcer / Q000175:diagnosis / Q000821:virology*; D005654:Fundus Oculi; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012170:Retinal Vein Occlusion / Q000821:virology*; D012698:Serologic Tests