title: The Diagnosis of Intraocular Inflammation and Cytomegalovirus Retinitis in HIV-Infected Patients by Laser Flare Photometry Laser Flare Photometry in HIV-Infected Patients.
abstract: OBJECTIVE
  To assess the sensitivity and specificity of the Kowa Laser Flare Photometer in screening for intraocular inflammation and cytomegalovirus retinitis in HIV-infected patients.
  
  
  METHODS
  Using the Kowa Flare-Cell 1000, 142 HIV-infected patients were evaluated for aqueous flare.
  
  
  RESULTS
  Patients with posterior segment disease had higher flare values (p<0.0001). A specificity of 93% and a sensitivity of 75% was found (cutoff value of 8 photon counts/msec). For a cutoff value of 5 photon counts/msec a specificity of 59% and a sensitivity of 91% was found. Patients with cytomegalovirus retinitis had higher flare values (p<0.0001). A specificity of 86% and a sensitivity of 75% was found for the cutoff value of 8 photon counts/msec and respectively of 53% and 91% for a cutoff value of 5 photon counts/msec. Assuming a 30% prevalence of cytomegalovirus retinitis in the HIV-infected population, positive predictive values of 70% (cutoff value of 8 photon counts/msec) and 45% (cutoff value of 5 photon counts/msec) were estimated.
  
  
  CONCLUSIONS
  The clinical use of laser flare photometry may assist in the diagnosis of intraocular inflammation in HIV-infected patients. The authors recommend screening of HIV-infected patients by laser flare photometry, and, if high flare values are detected, they recommend that such patients have a full eye examination and be considered at risk of having more extensive disease. This technique does not replace a full ophthalmological examination if there are predisposing visual complaints.
authors: Department of Ophthalmology, Paulista School of Medicine-Hospital Sao Paulo, Brazil.
authors: C
authors: C
authors: Muccioli
authors: R
authors: R
authors: Belfort
authors: M
authors: M
authors: Podgor
authors: P
authors: P
authors: Sampaio
authors: M
authors: M
authors: De Smet
authors: R
authors: R
authors: Nussenblatt