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March 1988

AIDS Presenting as Acute Glaucoma

Author Affiliations

San Francisco

Arch Ophthalmol. 1988;106(3):311-312. doi:10.1001/archopht.1988.01060130337010

To the Editor.  —The recent article by Ullman et al,1 "Bilateral angle-closure glaucoma in association with the acquired immune deficiency syndrome," introduced us to a new acquired immunodeficiency syndrome (AIDS)-related phenomenon. We have seen another such case, again as an initial manifestation of an illness later diagnosed as AIDS.

Report of a Case.  —A 30-year-old homosexual man with elevated intraocular pressure was referred from the emergency department to the office of one of us (F.C.W.). He related a one-week history of painless blurred vision in both eyes. For a while he noted his roommate's myopic correction helped him to see more clearly. The visual complaint was preceded by a short illness characterized by malaise and diarrhea. The patient was not taking medication.The patient's ocular history was unremarkable. He had recently renewed his driver's license without requiring spectacle correction. His medical and surgical histories were noncontributory; however, his sexual

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