Eyes AIDS pathology evaluation by using ultrasound examination

Abstract

Background: Ultrasound B scan is an important diagnostic method in eye pathology. We want to demonstrate the usefulness of ultrasound B scan in early diagnosis of AIDS symptoms and structural changes in the eyes. 30 year female with bilateral vireitis was examined. Patient had suddenly unilateral loss of vision acuity. Methods: Patient undergo full oftalmological examination and ultrasound B scan diagnostic examination. Results: During 2 weeks patient noticed sudden loss of vision acuity. Slit lamp examination revealed acute anterior uveitis. Fundus examination revealed hard changes in vitreous body. In right eye we diagnosed vitreitis and in left eye was more intensive changes of endophthalmitis. During systemic treatment of toxoplasmosis and AIDS in right eye we noticed full process stabilisation. Acute retinal necrosis and full loss vision we noticed in left eye. Ultrasound B scan revealed only structural changes of vitreous in right eye and vitreous hemorages and total retina detachment in left eye. Conclusion: We recommend early referral of cases of AIDS pathology in the eyes for baseline Ultrasound scan and follow up scan in 2 weeks, 4 weeks, 3 months and for later time to detect underlying pathology.