Ahnoux-Zabsonre A, Keita C, Safede K
CHU de Cocody, Côte d'Ivoire.
J Fr Ophtalmol. 1998 Apr;21(4):283-6.
We assessed the frequency of panophthalmitis in HIV-infected patients.
Thirty-seven cases of panophthalmitis were screened out of 420 hospitalized patients of ophthalmology department of Cocody Teaching University Hospital, Abidjan, Ivory Coast, from January to October 1995. HIV-tests were performed in 11 patients.
Mean age was 40 years (from 10 months to 75 years). Four patients (36.4% of tested patients) were infected by HIV. Contrary to seronegative patients, panophthalmitis cases in HIV-infected patients occurred spontaneously without any apparent exogenous cause (foreign bodies). Most of patients were young (from 18 to 47 years old).
We draw the attention of eye specialists of the frequency of panophthalmitis without exogenous apparent cause in HIV patients. It would be interesting to perform a transvitreal needle biopsy in order to search for intraocular toxoplasmosis that should be the first cause.
我们评估了HIV感染患者全眼球炎的发生率。
1995年1月至10月,在科特迪瓦阿比让可可迪教学大学医院眼科住院的420例患者中筛选出37例全眼球炎患者。对其中11例患者进行了HIV检测。
平均年龄为40岁(10个月至75岁)。4例患者(占检测患者的36.4%)感染了HIV。与血清学阴性患者相反,HIV感染患者的全眼球炎病例无任何明显外源性病因(异物)而自发发生。大多数患者较为年轻(18至47岁)。
我们提请眼科专家注意HIV患者中无明显外源性病因的全眼球炎的发生率。进行经玻璃体针吸活检以寻找应作为首要病因的眼内弓形虫病可能会很有意义。