Tejada P, Sarmiento B, Ramos J R
Department of Ophthalmology, Hospital Doce de Octubre, Madrid, Spain.
Int Ophthalmol. 1997;21(6):319-21. doi: 10.1023/a:1006027318983.
To report two cases of retinal peripheral lesions in vertically HIV-infected children.
Complete ophthalmological examinations were performed in both cases over a period of four years.
We found retinal peripheral lesions in four eyes of two patients who were referred to us for routine examination. Both cases showed focal, segmental and white patches around the vessel wall in the far periphery and at the equator. These findings hardly changed after 3.5 and 2.5 years of follow-up, respectively. We suppose the cause of these lesions is an immune-mediated reaction.
Even although there is a low incidence of retinal alterations in pediatric patients infected by HIV, we believe that complete and systematic ophthalmic examinations should be performed in these children.
报告两例垂直感染人类免疫缺陷病毒（HIV）儿童的视网膜周边病变病例。
在四年时间里对两例患者均进行了全面的眼科检查。
我们在因常规检查前来就诊的两名患者的四只眼中发现了视网膜周边病变。两例均显示在远周边部和赤道部血管壁周围有局灶性、节段性白色斑块。分别经过3.5年和2.5年的随访后，这些表现几乎没有变化。我们推测这些病变的原因是免疫介导反应。
尽管HIV感染儿科患者中视网膜改变的发生率较低，但我们认为应对这些儿童进行全面系统的眼科检查。
