WE REPORT 2 cases of extensive, bilateral retinal ischemia in human immunodeficiency virus (HIV) infection. We found no similar cases; HIV infection is usually associated either with mild microangiopathy or, more rarely, with isolated large-vessel occlusions.
A 21-year-old woman had painless loss of visual acuity in the right eye over several weeks. Visual acuity was 1/200 OD and 20/20 OS with a relative afferent pupillary defect. Funduscopic examination showed a severely ischemic right eye (Figure 1) and a normal left fundus. Magnetic resonance imaging of the brain and magnetic resonance angiography of the carotid arteries showed no abnormalities, except for sinusitis. The patient refused blood tests.
Roth DB, McCabe CM, Davis JL. HIV-Related Occlusive Vasculitis. Arch Ophthalmol. 1999;117(5):696–698. doi:10.1001/archopht.117.5.696
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