1Associate Professor, Department of Pathology, Santosh Medical College and Hospital, Ghaziabad
2Associate Professor, Department of Ophthalmology, Santosh Medical College and Hospital, Ghaziabad
3Resident, Ophthalmology, Santosh Medical College and Hospital, Ghaziabad
4Associate Professor, Department of E.N.T., Santosh Medical College and Hospital, Ghaziabad
5Prof.& Head, Department of Microbiology, Narayan Medical College and Hospital, Sasaram
6Director, Rotary Eye Hospital Maranda, Palampur, HP
*Corresponding author: Rahul Bhargava, Associate Professor, B2-004, Ananda Apartments, Sector 48, Noida UP India. Phone: +919999055223, Fax: +9101772801202
Online published on 7 October, 2013.
To describe current ophthalmic and systemic findings in 116 patients with Human Immunodeficiency Virus (HIV) infection examined at three referral eye centers in India and to establish safety guidelines for health care personnel's.
A complete ophthalmological examination was performed on each patient. Relevant investigations were carried out on selected patients.
The most common lesion was cytomegalovirus (CMV) retinitis. Other lesions in decreasing order of frequency are cotton-wool spots, chorioretinitis, endogenous endophthalmitis, anterior uveitis, and molluscum contagiousm. The most common systemic infection was pulmonary tuberculosis (50%). The others were oral candidiasis (41.4%), Pneumocystis carinii pneumonia (11.4%), HIV enteropathy (12.8%) and toxoplasmosis (4.2%).
The most common ocular lesion among HIV patients in India is CMV retinitis. With wider availability of cost-effective HAART, clinical and epidemiological profile of HIV in India has undergone transition. Guidelines for aseptic measures in HIV infected patients have been clearly defined now. Physicians and Ophthalmologists should work in tandem to manage ocular disease and opportunistic infections.
Human Iimmunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS), Highly Active aAntiretroviral Therapy (HAART), Cytomegalovirus (CMV)
