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CASE STUDY
A 36 year old HIV positive male reported a sudden onset of floaters in his left eye having had no previous ocular problems. ... Compliance was variable and at the time of presentation with his eye problem his CD4 count had risen to 80 cells/mml with an HIV viral load of <400 copies/ml .
On examination, his left eye was slightly injected, vision was 6/9 with cells in the anterior chamber and more in the vitreous. ... His right eye was normal. ... What is the most likely diagnosis of his eye problem? ... This may present in a variety of ways including masquerading as intraocular infection/inflammation. ... Treatment may require vitrectomy, intravitreal amphoteracin and systemic antifungal agents such as fluconazole which are able to cross into the eye (9). ... Cotton wool spots occur in the posterior pole and are not associated with inflammation unless there is co-existent pathology. ... The presence of viral DNA in the vitreous is diagnostic of the retinal infection as the vitreous is normally a privileged site and contains no viral DNA in a normal eye (11). ... His eye lesion settled and treatment was discontinued after his CD4 count had risen to above 200 cells/ml.
Approximate Word count = 1033
Approximate Pages = 4.1
(250 words per page double spaced)
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