Ocular Diseases in HIV-positive Patients in a Tertiary Hospital in Nigeria

Main Article Content

Modupe O. Arowolo
Elizabeth A. Awoyesuku
Chinyere N. Pedro-Egbe

Abstract

Aims: To determine the pattern of ocular disorders in HIV-positive patients in a tertiary ospital in Nigeria.

Study Design: A cross-sectional hospital based study on confirmed HIV positive adult patients attending the HIV clinic in University of Port Harcourt Teaching Hospital.

Duration of Study:  November and December 2011.

Methodology: Consecutive patients within the inclusion criteria were recruited until the required sample size was met. The visual acuity was tested using the Snellen’s chart and the illiterate E-chart. Ocular examination of the adnexial and anterior segments were done using a pen torch and a slit lamp biomicroscope. Fundoscopy was done using a direct and indirect ophthalmoscope as well as with a 90D lens. Other information such as CD4 count and HIV serotype were retrieved from the patient’s case notes. The data was analysed using EPI-info version 7.0. Statistical methods such as the frequency and chi-square were used to test the significance of association. Level of significance was drawn at P<0.05.

Results: A total of 411 patients were enrolled in this study. The age range was between 18-69 years with a mean age of 36.9 years. There was a female preponderance with a male to female ratio of 1:2. Ocular disorders were seen in 37.1% of patients studied. The commonest manifestation was the ocular adnexial manifestation and conjunctival microvasculopathy ranked highest (15.6%) in this group. Herpes zoster ophthalmicus was seen in 5 (1.2%) patients, presumed squamous cell carcinoma in 12(2.9%) and Kaposi sarcoma in 3(0.7%). Chorioretinitis was found in 12(2.9%), retinal microvasculopathy in 19(4.6%) and maculopathy in 15(3.6%). There was no case of CMV retinitis.

Conclusion: Ocular findings seen in HIV- positive patients were mostly adnexial and occurred in 37% of the study population.

Keywords:
Ocular findings, HIV-positive, tertiary hospital.

Article Details

How to Cite
O. Arowolo, M., Awoyesuku, E. A., & Pedro-Egbe, C. N. (2019). Ocular Diseases in HIV-positive Patients in a Tertiary Hospital in Nigeria. International Journal of TROPICAL DISEASE & Health, 39(3), 1-9. https://doi.org/10.9734/ijtdh/2019/v39i330207
Section
Original Research Article

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