Ambou FI, Rodríguez AN, Ramos BL, Vilches LD, Osorio IL, Padilla GCM

Language: Spanish
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ABSTRACT

Objective: to characterize the eye diseases observed in HIV-AIDS patients diagnosed at the Uveitis and Eye Inflammation Service at "Ramon Pando Ferrer" Cuban Institute of Ophthalmology.
Methods: retrospective, longitudinal and descriptive study of 39 eyes (24 patients, who met the inclusion and exclusion criteria of the research. The study variables were age, sex, associated eye diseases, laterality, visual acuity and TCD4+ lymphocyte count at the beginning and the end of the eye disease, the related complications and the loss of visual acuity.
Results: males (83.3 %) and the 31-45 y age group (45.8 %) of the sample predominated. There was great visual deterioration since the onset of disease, without any significant improvement once the patient is stabilized (p= 0.503). The most common eye diseases were ocular syphilis (32.1 %), cytomegalovirus retinitis (28.6 %) and toxoplasmoxis (17.8 %). Retinal detachment (27.2 %), epiretinal membranes (22.7 %) and cataract (18.2 %) were the most frequent complications.
Conclusions: Ocular syphilis is the most common disease in HIV-AIDS patients and is unrelated to CD4+ count. Cytomegalovirus retinitis is associated to low CD4+ counts and unleash higher number of complications. Over half of the eyes with diseases in HIV-AIDS patients evolved into blindness.