Abstract

The overwhelming majority of vascular occlusions in patients infected with HIV are microvascular occlusions with cotton wool spots, with branch, central, and hemi- retinal vein occlusions being common.

Highlights

  • The overwhelming majority of vascular occlusions in patients infected with human immunodeficiency virus (HIV) are microvascular occlusions with cotton wool spots, with branch, central, and hemi- retinal vein occlusions being common

  • Over 75% of patients with central retinal arterial occlusion suffer from generalized atheromatous disease, which is frequently associated with hypertension, diabetes mellitus, or both [2]

  • Anti-cardiolipin antibodies are rarely associated with clinically detectable vascular thrombosis in patients with Acquired Immunodeficiency Syndrome (AIDS) [4]

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Summary

Results

Ophthalmologic examination revealed no light perception with a relative afferent pupillary defect and evidence of marked, diffuse retinal ischemia in the left eye. Systemic evaluation revealed positive testing for human immunodeficiency virus (HIV)-1 antibody with a CD4 count of 35 cells per microliter and an HIV-1 viral load of 556,655 copies/milliliter. Systemic evaluation did not reveal other etiologies

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