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November 1988

Central Retinal Vein Occlusion in a Patient With AIDS

Arch Ophthalmol. 1988;106(11):1508-1509. doi:10.1001/archopht.1988.01060140676016

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To the Editor.  —Retinal microvascular disease is associated commonly with the acquired immunodeficiency syndrome (AIDS). However, a central retinal vein occlusion (CRVO) has not, to our knowledge, been described in association with AIDS.

Report of a Case.  —A 34-year-old homosexual white man with a two-month history of AIDS, diagnosed on the basis of Pneumocystis carinii pneumonia, complained of blurred vision in his left eye for three weeks. He first noted this condition the morning after a blood transfusion for dapsone-induced anemia (hemoglobin value, 82 g/L; hematocrit, 0.26). Dapsone therapy had been discontinued a few days previously. He had no other opportunistic infections. His only other medications were pentamidine inhalations every two weeks and oral egg lecithin. An examination on July 31, 1987, revealed best corrected vision with plano of 20/25 OD and 20/40—OS eye, with a central scotoma in the left eye. There was no anterior segment neovascularization and

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