title: [Ocular complications of HIV infection: experience of the Northern Excellence Pole of Morocco].
abstract: BACKGROUND
  HIV infection is associated with a wide variety of ophthalmic manifestations. The objective of this study was to identify the ocular complications of HIV/AIDS in Morocco.
  
  
  METHODS
  A retrospective study conducted in the internal medicine department of the Rabat Teaching Hospital between 1998 and 2008. All HIV-positive patients were retained for the study. Each patient had an exhaustive ocular examination.
  
  
  RESULTS
  Of 115 ophthalmologic examinations, 28 were abnormal. Twenty-seven patients had stage C HIV infection and one patient was in stage A. The ocular manifestations were: 21 cases of ocular HIV-related anomalies (microangiopathies), four cases of cytomegalovirus (CMV) retinitis, one case of toxoplasmosis chorioretinitis, one case of CMV retinitis associated with toxoplasmosis chorioretinitis, two cases of Cryptococcus neoformans infection, two cases of varicella-zoster virus (VZV) retinitis, and one case of conjunctival Kaposi sarcoma. The CD4 count average was of 86±91/mm(3). Twenty-six patients had a CD4 count lower than 200/mm(3). Progression was favorable in 85 % of the cases, with three cases of blindness: bilateral in a case of VZV retinitis and unilateral in two cases of CMV retinitis and toxoplasmosis chorioretinitis.
  
  
  CONCLUSIONS
  CMV infection is the main ocular opportunistic infection in our series. However, Highly Active Antiretroviral Treatment (HAART) may be the cause for the decline in the prevalence of ocular diseases and visual impairment in HIV/AIDS.
authors.affiliation: Rabat Institut, service de médecine interne, CHU Ibn Sina Rabat, rue Lamfadel-Cherkaoui, BP 6527, Rabat, Maroc. l.lamzaf@live.fr
authors.forename: L
authors.initials: L
authors.lastname: Lamzaf
authors.forename: W
authors.initials: W
authors.lastname: Ammouri
authors.forename: O
authors.initials: O
authors.lastname: Berbich
authors.forename: Z
authors.initials: Z
authors.lastname: Tazi Mezalek
authors.forename: M
authors.initials: M
authors.lastname: Adnaoui
authors.forename: M
authors.initials: M
authors.lastname: Aouni
authors.forename: H
authors.initials: H
authors.lastname: Harmouche
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000453:epidemiology; D000328:Adult; D003430:Cross-Sectional Studies; D005128:Eye Diseases / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009018:Morocco; D012189:Retrospective Studies; D014786:Vision Disorders / Q000175:diagnosis* / Q000453:epidemiology; D055815:Young Adult