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Rev Assoc Med Bras. 1999 Oct-Dec;45(4):323-6. Unique Identifier : AIDSLINE MED/20215699
Matos KT; Santos MC; Muccioli C; Departamento de Oftalmologia, Universidade Federal de Sao Paulo.
Abstract: PURPOSE: To evaluate ocular manifestations of HIV-infected patients. MATERIAL AND METHODS: A retrospective study of 1,100 HIV positive out patients in 3 years with a standard complete ophthalmological exam. RESULTS: Eight hundred and sixty nine (79%) of the 1,100 patients studied were male and 231 (21%) female. The most important risk factors were: male homosexuality in 303 cases (27.55%), heterosexuality in 272 (24.73%), endovenous drugs use in 168 (15.27%), and unknown cause in 246 (26.36%). Related to ocular complains, we found 432 (39.27%) patients with decreased visual acuity, 138 (12.55%) with visual hazy, 64 (5.82%) with ocular pain, 186 (16.9%) with inspecific complaints, and 235 (21.36%) with no complains. The most frequent ocular manifestations were: CMV retinitis in 246 (22.36%), cotton wool spots in 110 (10%), blepharitis in 51 (4.64%), and toxoplasmosis in 48 (4.36%). CONCLUSION: The increase of disease ratio was observed among heterosexual and females in this specific population. Patients with ocular complains were 79.42%. The most frequent ocular manifestations was CMV retinitis, in 246 (22.36%). We found also 10% of cotton wool spots.
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