Cernák A, Filová I, Pont'uchová E, Durcová T, Mokrás M
Ocná klinika IVZ, Bratislava.
Cesk Oftalmol. 1993 Nov;49(6):387-93.
We are observing a patient who is HIV positive since 1987 and in 1992 he got sick of AIDS. The first ophthalmologist symptom of the illness was a blurred disc margin of the optic nervehead with minor peripapillary hemorrhages and reduction of his visual acuity. After two months the condition of the fundus has improved but on the eyelash in the nasal half a Kaposi sarcoma is emerging. After six month of being sick of AIDS we are observing a reduction of visual acuity on the left eye and we diagnosed a Cytomegalic viral retinitis which is also confirmed serologically. Inspite of the treatment by Gancyclovir his condition is not improving and minor hemorrhages as well as microaneurysms are emerging also in macular area of the right eye.
我们正在观察一位自1987年起HIV呈阳性的患者,1992年他患上了艾滋病。该疾病的首个眼科症状是视神经乳头边缘模糊,伴有轻微的视乳头周围出血以及视力下降。两个月后眼底状况有所改善,但在鼻侧眼睑上出现了卡波西肉瘤。患艾滋病六个月后,我们观察到他左眼视力下降,诊断为巨细胞病毒性视网膜炎,血清学检查也证实了这一点。尽管使用更昔洛韦进行治疗,他的病情仍未改善,右眼黄斑区也出现了轻微出血和微动脉瘤。