Document 2909
 DOCN  M94A2909
 TI    Is routine ophthalmological study in VIH patients profitable?
 DT    9412
 AU    Munoz JJ; Artiaga E; Tana P; Carrasco JM; Vidal T; Portilla J; Boix V;
       Belmonte J; Servicio de Oftalmologia, Hospital General Universitario de;
       Alicante, Spain.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):197 (abstract no. PB0215). Unique
       Identifier : AIDSLINE ICA10/94369666
 AB    OBJECTIVE. Evaluation of routine ophthalmological investigations in CDC
       stage IV HIV + patients admitted to the Infections Diseases Unit of our
       hospital, without ophthalmological signs or symptoms. To show the
       relationship between the ocular pathology found and the cause of
       hospital admission. MATERIAL AND METHODS. Between April 1992 and
       December 1993 routine fundus examination under mydriasis was performed
       on 145 patients (a total of 259 examinations). RESULTS. The commonest
       causes of admission were fever (29.3%), respiratory symptoms (13.49%)
       and constitutional syndrome (12.7%). Ocular pathology was found in 46.7%
       of the patients, of these, 72.13% had non-infections retinal
       microangiopathy and 22.95% infectious pathology. Thirteen cases of CMV
       retinitis, five cases of ARN and four cases of tuberculous choroiditis
       were diagnosed, only the latter 4 patients showed signs of related
       systemic pathology (disseminated miliary tuberculosis). The extra
       workload involved was two hours per week. CONCLUSIONS. In view of the
       minimal workload involved, and the necessity of early treatment of eye
       infections in AIDS patients for the conservation of vision, we consider
       that routine ophthalmological examination is extremely valuable.
 DE    AIDS-Related Opportunistic Infections/DIAGNOSIS  Choroiditis/DIAGNOSIS
       Cytomegalovirus Retinitis/DIAGNOSIS  Diagnostic Tests, Routine  Eye
       Diseases/COMPLICATIONS/*DIAGNOSIS  Human  HIV Infections/*COMPLICATIONS
       Retinal Vessels/PATHOLOGY  Tuberculosis, Miliary/COMPLICATIONS
       Tuberculosis, Ocular/DIAGNOSIS  MEETING ABSTRACT

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