Ocular manifestations of HIV/AIDS at Moi Teaching and Referral Hospital (AMPATH Clinic)
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Date
2009-07Author
Listo, BN
Kollmann, KHM
Kimani, K
Owino, C
Type
ArticleLanguage
enMetadata
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Objective: To determine the prevalence and pattern of ocular conditions in HIV/AIDS patients attending HIV/AIDS care clinic (AMPATH). Design: Hospital-based cross sectional study. Setting: Moi Teaching and Referral Hospital (AMPATH CLINIC) ,Eldoret, Kenya. Subjects: HIV/AIDS patients seen at AMPATH, clinic.Results: Two hundred patients with HIV/AIDS were examined. The overall prevalence of ocular findings was 154 patients (77%). One hundred and eighteen patients (59%) were on ARV therapy. The main findings were posterior segment lesions (53%), anterior segment disorders (26.5%). Posterior segment findings included; Retinal microvasculopathy (75 patients ,37.5%), chorioretinitis (9 patients ,4.5%), vitreous opacities (8 patients, 4%), macula edema (8 patients, 4%) and CMV retinitis (5 patients ,2.5%). Fibrous membrane attached to the iris mostly near the pupillary margin (37 patients, 18.5%) and iridocyclitis (11 patients, 5.5%) were the main anterior segment findings. Conjunctival growths (13 patients, 6,5%) and Kaposi (10 patients, 5%), conjunctival microvasculopathy (8 patients, 4%) and molluscum contagiosum (5 patients, 2.5%) were the main ocular adnexal findings. Tuberculosis was the main systemic findings (53%). This study found that ocular findings are directly related to the severity of clinical disease staging (e.g. WHO stages III and IV) and severity of immune suppression (CD4+ count). Conclusion: The results of this study suggest a high prevalence of ocular findings in adolescents and adults with HIV/AIDS. Retinal microvasculopathy was the commonest posterior segment finding observed. Further studies are needed to investigate the unusual findings of the fibrous membrane attached to the iris observed in this study
Citation
KAHAKI, DRKIMANI, MARTIN DRKOLLMANNKH. 2009. Listo BN, Kollmann KHM, Kimani K, Owino C.Ocular manifestations of HIV/AIDS at Moi Teaching and Referral Hospital (AMPATH Clinic). East Afr. j. ophthalmol. 2009 Jul; 15(1): 27-34.. African Journal of Midwifery and Womens. : Prof. Anna karani, Prof. Simon Kangethe & Johannes Njagi NjokaPublisher
University of Nairobi, School of Medicine
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- Faculty of Health Sciences (FHS) [10378]