广西医学2012，Vol.34Issue(5)：543-545,3.
HIV 相关视网膜病的临床研究
Clinical Study on HIV-related Retinopathy
摘要
Abstract
Objective To explore the pathogenesis,fundus characteristics,diagnosis and therapeutic principle oi HTV-related retinopathy. Methods Data of 30 patients with HTV-related retinopathy were analyzed retrospectively. Results Thirty patients were found with HTV-related retinopathy in 300 HTV/AIDS patients( 600 eyes ), the detection rate was 10.00% ,including 5 patients with vision changing;There were 26( 86.67% ) patients with CD4+ T cell count below 100 cell/uJ and 4 patients with CD4 + T cell count above 100 cell/jxl. The CD4 + T cell count of the patients with HTV-related retinopathy was significantly lower than that of the patients without HIV-related retinopathy( P < 0. 01 ). Cotton-wool spots,retinal hemorrhage and microangioma could be seen by fundus fluorescein angiography. The fundus changes of all the patients were improved after the treatment with antiretroviral therapy. Conclusion The clinical manifestation of HIV-related retinopathy is always nonspecific and easy to be missed diagnosis. Routine fundus examinatior is important for early detection and early treatment of HIV-related retinopathy in HTV/AIDS patients in the first visit.关键词
HIV感染/视网膜病/间接检眼镜/CD4+T淋巴细胞Key words
HIV infection/Retinopathy/Indirect ophthalmoscopy/CD4 + T cell分类
医药卫生引用本文复制引用
李雪琴,黄爱春,刘升,卢祥婵..HIV 相关视网膜病的临床研究[J].广西医学,2012,34(5):543-545,3.基金项目
广西医药卫生科研课题(桂卫Z2010158) （桂卫Z2010158）
