OPHTHALMOLOGICAL MANIFESTATIONS IN PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS. PETERS ANOMALY: CASE REPORT

Abstract

Human immunodeficiency virus (HIV)/ Acquired immunodeficiency syndrome (AIDS), affects millions of people around the world. In Latin America and the Caribbean, almost 1.9 million people live with HIV/ AIDS. It ́s characterized by being a multisystem disease in which ophthalmological diseases occur in 70% to 80% of infected patients. In these patients opportunistic infections are the main cause of eye disease, however, it is also the cause of unusual visual abnormalities, such as Peter ̈s anomaly, that is present only 1 in a million people and is the cause of over 40% of congenital corneal opacities. We present a case of 21-year-old female from San Pedro Sula, with a medical history of acquired immunodeficiency virus in stage B2, by vertical transmission, in treatment with antiretrovirals, without maternal infec- tious antecedents added to HIV. With history of blurred vision, far and close, in both eyes with greater severity in the right eye. In addition, she refers frontal headache, pulsatile, of evening predominance that radiates towards parietal and occipital. Physical exa- mination shows decreased visual acuity, borderline intraocular pressure, corneal leucoma, and altered gonioscopy in both eyes. Currently both eyes stable and visual acuity improves with refraction, which is an indicative of a favorable prognosis.