HIV and the eye Flashcards
Signs of non-infectious HIV retinitis (3)
Cotton wool spots
retinal haemorrhages
retinal micro-aneurysms
Signs of non-infectious HIV retinitis (3)
Cotton wool spots
retinal haemorrhages
retinal micro-aneurysms
Bacterial ocular infections (6)
Blephoritis retinitis conjunctivitis keratitis episcleritis anterior uveitis
Clinical presentation and epidemiology of CMV retinitis
decreased acuity +/- blindness
most common HIV ocular infection affecting 45%
CMV retinitis fundoscopy finding
Mozzarella pizza appearance
Other ocular infections (8)
HSV keratitis VZV keratitis, conjunctivitis and necrotising retinitis Syphilis TB Gonorrhoea Toxoplasmosis Chlamydia Cryptococcus
Other ocular infections (8)
HSV keratitis
VZV keratitis, conjunctivitis and necrotising retinitis
Syphilis: Argyll-Robertson Pupil (constricted, no reaction to light and loss of accommodation)
TB
Gonorrhoea
Toxoplasmosis
Chlamydia: conjunctivitis, Reiter’s
Bacterial ocular infections (6)
Blephoritis retinitis conjunctivitis keratitis episcleritis anterior uveitis
Clinical presentation and epidemiology of CMV retinitis
decreased acuity +/- blindness
most common HIV ocular infection affecting 45%
CMV retinitis fundoscopy finding
Mozzarella pizza appearance
Rx options for CMV retinitis (4)
1st line is oral valganciclovir
IV ganciclovir
intraocular ganciclovir/foscarnet injections
ganciclovir intraocular implant-doesn’t help other eye
Other ocular infections (8)
HSV keratitis
VZV keratitis, conjunctivitis and necrotising retinitis
Syphilis: Argyll-Robertson Pupil (constricted, no reaction to light and loss of accommodation)
TB
Gonorrhoea
Toxoplasmosis
Chlamydia: conjunctivitis, Reiter’s
Features of syphilis ocular infection (3)
Argll-Robertson pupil
constricted
unreactive to light
accommodation reflex preserved
Features of cryptococcus ocular infection
swollen optic disc
Features of Chlamydia ocular infection (4)
Reiter’s syndrome: reactive arthritis, conjunctivitis, urethritis, keratoderma blennorrhagica