Dr.AAYESHA KHANUM

Dr.Ankush Kawali, Dr. SANJAY SRINIVASAN, Dr. PADMAMALINI MAHENDRA DAS, Dr.Shetty Bhujang K

Abstract

Aim: To study retinal vasculitis (RV) without associated retinitis or choroiditis in HIV patients. Methods: Cases diagnosed as RV in HIV without retino-choroiditis were studied retrospectively. Patient’s HIV status at presentation, comorbidity, clinical presentation, lab and imaging findings were noted. Result: 11 eyes of 6 patients were studied. Only 3 patients were known HIV positive and 2 were on HAART. 3 tested positive for syphilis. Fundus fluorescein angiography revealed mainly exudative vasculitis in all and diffuse granularity in 6 eyes associated with ellipsoid zone loss in 4 eyes on OCT scan. CD4 counts were >100 cells/mm3 in all tested cases. Conclusion: Isolated RV in HIV patients may mislead clinicians to workup and treat patients for autoimmune vasculitides unless HIV status is known at presentation. Syphilis could be the common etiology and exudative vasculitis could be the common morphological presentation in HIV patients with RV presenting without retinito-choroiditis