inflamation session - All India Ophthalmological Society

INFLAMMATION SESSION3033. Cases referred from infectious diseasehospital.4. Cases referred from the department ofObstetrics and Gynecology.5. Persons who voluntarily want to know HIVstatus.6. Female sex workers.7. Intravenous drug abusers8. Truck drivers and migrant population.9. Cases referred by NGO ( Ship, Rotary, Lions)10. Cases whose spouse tested to be HIVpositive.11 Children of HIV positive parents.12. Professionals ( Doctors, Nurses, Labtechnicians, Blood bank workers who reportafter accidental needle prick.)1466 clients who came for HIV testing to ICTCwere subjected to Tridot test. 595 (40.58%) whoturned out to be HIV positive were screened forocular involvement after taking informedconsent. They were tested for Visual acuity, Slitlamp examination, Direct and indirectOphthalmoscopy at the department ofOphthalmology of Guntur Medical college.ResultsOut of 595 HIV positive cases 119 (20%) werefound to be having Ocular involvement. Of 595HIV positive cases 352 (59.15%) were males and243 (40.84%) were females. Among those whowere having ocular involvement 71 (59%) weremales and 48 (41%) were females. Various ocularComparison of StudiesOcular lesion Awan et al Jabs et al Biswas et S.K mandal S.P.Sahoo OurKenya USA al India Et al studyMolluscum * * * * 1.5% 3.36%Herpes Zoster * * * * 4.54% 5.04%Orbital Lymphomas * * * * * 1.68%OSSN * * * * * 9.24%Dendritic ulcer * * * * * 1.68%Fungal ulcer * * * * * 0.84%Iridocyclitis * * * * 4.5% 52.94%Choroiditis * 3% * 0.57% * 2.52%CMV retinitis 3% 4.7% 17% 10.6% 11% 10.92%HIV retinopathy 25% 6.4% 15% 10.65% 12% 9.24%Optic atrophy 3% 5% 7% 3% 3% 0.84%lesions seen were as follows:Ocular lesions No. of cases %(119) of casesMolluscum Contagiosum 4 3.36%Herpes zoster ophthalmicus 6 5.04%Orbital Lymphomas 2 1.68%OSSN 11 9.24%Dendritic ulcer 2 1.68%Fungal keratitis 1 0.84%Iridocyclitis Ac/Ch 63 52.94%Choroiditis 3 2.52%CMV Retinitis 13 10.92%HIV retinopathy 11 9.24%Optic Atrophy 1 0.84%DiscussionThe incidence of iridocyclitis in our study is morewhen compared to other studies. The casesreferred to ICTC were more from department ofSTD and TB and chest diseases. As it is wellknown fact that iridocyclitis is commonly seen inpatient suffering from Syphilis and Tuberculosis.The clients attending ICTC were in majorityreferred by clinicians on suspicion of havingAIDS. And most of the positive cases were fromthat group. The categories from 5 to 11 wereeither referred by voluntary organizations or theclients themselves came for testing on creation ofawareness about AIDS by Govt. or NGOorganizations.