Læknablaðið - 15.04.1994, Blaðsíða 17

LÆKNABLAÐIÐ
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had developed AIDS. Twelve HlV-positive
patients were examined at the Department
of Ophthalmology, nine of whom had ocular
complications (8 of 9 had AIDS). Four had died
by september 30th 1993 (all with cytomegalovirus
retinitis). Six patients had cytomegalovirus
retinitis, one had optic nerve atrophy, one had
chronic herpes simplex keratitis and six had retinal
microvasculopathy (in one case the only ocular
complication).
Survival after diagnosis of cytomegalovirus retinitis
was 2, 10, 12.5 and 14 months. Two patients
became blind (<3/60 on better eye). Two patients
developed retinal detachments which was repaired
in one of them.
Ocular complications of AIDS can cause a serious
handicap in otherwise relatively healthy AIDS
patients. As immunodeficient patients will survive
longer with better treatment against the HIV-
infection, ocular complications will make increased
demand on ophthalmological and other medical
services.
ÞAKKIR
Eftirtöldum læknum færum við bestu þakkir
fyrir aðstoð og aðgang að sjúkraskrám:
Haraldi Sigurðssyni, Kristjáni Erlendssyni,
Sigurði Guðmundssyni, Sigurði B.
Þorsteinssyni og Þórði Sverrissyni.
HEIMILDIR
1. Jabs DA, Green WR, Fox R, Polk BF, Bartlett JG.
Ocular manifestations of acquired immune deficiency
syndrome. Ophthalmology 1989; 96: 1092-9.
2. Holland GN. Acquired immunodeficiency syndrome
and ophthalmology: the first decade. Am J
Ophthalmol 1992; 114: 86-95.
3. Engstrom RE, Holland GN, Hardy WD, Meiselman
HJ. Hemorheologic abnormalities in patients with
human immunodeficiency virus infection and
ophthalmic microvasculopathy. Am J Ophthalmol
1990; 109: 153-61.
4. Bloom JN, Palestine AG. The diagnosis of
cytomegalovirus retinitis. Ann Int Med 1988; 109:
963-9.
5. Studies of Ocular Complications of AIDS (SOCA)
research group in collaboration with the AIDS
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with the acquired immunodeficiency syndrome
treated with either Foscamet or Ganciclovir for
Cytomegalovirus retinitis. N Engl J Med 1992; 326:
213-20.
6. Jabs DA, Enger C, Haller J, de Bustros S. Retinal
detachments in patients with cytomegalovirus retinitis.
Arch Ophthalmol 1991; 109: 794-9.
7. Sidikaro Y, Silver L, Holland GN, Kreiger AE.
Rhegmatogenous retinal detachments in patients
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Ophthalmology 1991; 98: 129-35.
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A, Munguia D, Aguilar MF. Surgical repair
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