Ocular manifestations of AIDS
1991; American Medical Association; Volume: 266; Issue: 21 Linguagem: Inglês
10.1001/jama.266.21.3019
ISSN1538-3598
Autores Tópico(s)Ocular Diseases and Behçet’s Syndrome
ResumoSELECTED CASES Case 1 A 58-YEAR-OLD bisexual man presented to the eye clinic of the National Institutes of Health, Clinical Center, Bethesda, Md, with a 2-day history of shadows in his left eye that had progressed to a more confluent clouding of his peripheral field. Visual acuity was 6/6 (20/20) in his right eye and 6/12 (20/40) in his left. Retinal examination revealed an area of hemorrhagic retinitis extending to within 2 disc diameters of his optic nerve. A white perivascular sheath was noted along major vessels beyond the area of involvement. A diagnosis of cytomegalovirus (CMV) retinitis was made and the patient was started on ganciclovir sodium (5 mg/kg intravenously, twice a day) with resolution of the retinitis. However, after 6 weeks on maintenance ganciclovir therapy (5 mg/kg, once a day), he noted further change in his vision and had funduscopic evidence of CMV reactivation. He was given another
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