Ukponmwan C U, Egbagbe E E, Osahon A I
Department of Ophthalmology, University of Benin, Benin City.
Niger J Clin Pract. 2009 Jun;12(2):120-3.
The aim of this study was to determine the incidence of human immunodeficiency virus in one hundred and sixteen (116) ophthalmic patients who had surgery over a two year period (July 2003 to June 2005) in the Department ofOphthalmology of the University ofBenin Teaching Hospital, Benin City.
A two year prospective study was carried out on 116 ophthalmic patients who had surgery between July 2003 and June 2005, A total of 116 patients were screened for HIV 1 & 2. An informed consent was obtained from all the patients. Patients who did not give their consent were excluded from the study.
The total number of patients screened was one hundred and sixteen (116).There were 61 males and 55 females The age range was lyear to 78years with a mean age of 46 +/- 22.2 years (SD). The highest number of patients, 25 was found in the age group 61-70 years, comprising 21.6 of the total number of patients, followed by 24 patients in the 51 60 years age group. Three (3) patients comprising 2.6% were HIV positive. There were 2 females aged 25 and 50 years and a male aged 42years. The 25 year old female presented with squamous cell carcinoma of the conjunctiva, while the 57 year old woman had panophthalmitis. The male patient had herpes zoster ophthalmicus. He developed corneal opacities as complications of herpes zoster and had a peripheral iridectomy done to improve his vision.
Although the HIV seropositivity rate of 2.6% is low, there is a need to do routine testing for HIV seropositivity in ophthalmic surgical patients who are billed for surgery as it gives them an opportunity to know their HIV status, thus enabling them to take appropriate preventive or treatment measures where necessary. HIV screening should be mandatory for high risk patients such as those with panophthalmitis, herpes zoster and squamous cell carcinoma of the conjunctiva that are markers for HIV.
本研究旨在确定在贝宁城贝宁大学教学医院眼科，于两年期间（2003年7月至2005年6月）接受手术的116例眼科患者中人类免疫缺陷病毒的感染率。
对2003年7月至2005年6月期间接受手术的116例眼科患者进行了为期两年的前瞻性研究。总共对116例患者进行了HIV 1和2的筛查。所有患者均获得了知情同意。未给予同意的患者被排除在研究之外。
筛查的患者总数为116例。其中男性61例，女性55例。年龄范围为1岁至78岁，平均年龄为46±22.2岁（标准差）。患者数量最多的是61 - 70岁年龄组，有25例，占患者总数的21.6%，其次是51 - 60岁年龄组的24例患者。3例（2.6%）患者HIV呈阳性。有2名女性，年龄分别为25岁和50岁，1名男性，年龄为42岁。25岁的女性患有结膜鳞状细胞癌，57岁的女性患有全眼球炎。男性患者患有眼部带状疱疹。他因带状疱疹并发症出现角膜混浊，并接受了周边虹膜切除术以改善视力。
尽管2.6%的HIV血清阳性率较低，但对于计划进行手术的眼科手术患者，有必要进行HIV血清阳性的常规检测，因为这能让他们有机会了解自己的HIV状况，从而使他们能够在必要时采取适当的预防或治疗措施。对于高风险患者，如患有全眼球炎、带状疱疹和结膜鳞状细胞癌等HIV标志物的患者，HIV筛查应强制进行。
