Burcea M, Gheorghe A, Pop M
Clinical Emergency Eye Hospital, Bucharest, Romania.
J Med Life. 2015 Jan-Mar;8(1):62-3.
Acquired immune deficiency syndrome (AIDS) is associated with a wide spectrum of systemic and ocular infectious diseases. Little information is known about Herpes Simplex Virus type 1 (HSV-1) keratoconjunctivitis in association with AIDS. Because HSV-1 is becoming, day by day, a common eye disease (nearly 100% patients of over 60 years old harbor HSV in their trigeminal ganglia at autopsy), this article discussing a worldwide public health problem.
The purpose of this paper is to compare the incidence and clinical aspects of HSV-1 Keratitis in HIV/ AIDS patients compared with the general population who develops HSV- 1 Keratitis.
The study is retrospective and comparative. Each patient was examined thoroughly at the biomicroscope ocular slit after corneal staining with fluorescein or rose bengal. Visual acuity, intraocular pressure and corneal sensitivity were also examined.
From 170 patients with HIV and ocular anterior segment disorders, 47 patients had viral etiology. 58 patients had keratitis; 14 of them were HSV-1 keratitis.
Doctors should be aware of the existence of the ocular damage in HIV/ AIDS and emphasize the importance of regular ophthalmologic examination of patients with HIV/ AIDS as HSV infection is common nowadays among the general population.
获得性免疫缺陷综合征(艾滋病)与多种全身性和眼部感染性疾病相关。关于1型单纯疱疹病毒(HSV-1)角膜结膜炎与艾滋病相关的信息知之甚少。由于HSV-1日益成为一种常见的眼病(尸检时近100%的60岁以上患者三叉神经节中携带HSV),本文讨论了一个全球性的公共卫生问题。
本文的目的是比较HIV/艾滋病患者与发生HSV-1角膜炎的普通人群中HSV-1角膜炎的发病率和临床特征。
本研究为回顾性比较研究。在用荧光素或孟加拉玫瑰红对角膜染色后,在生物显微镜眼裂隙灯下对每位患者进行全面检查。还检查了视力、眼压和角膜敏感性。
在170例患有HIV和眼前节疾病的患者中,47例病因是病毒。58例患有角膜炎;其中14例为HSV-1角膜炎。
医生应意识到HIV/艾滋病患者存在眼部损害,并强调对HIV/艾滋病患者进行定期眼科检查的重要性,因为如今HSV感染在普通人群中很常见。