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The prevalence and causes of visual loss among HIV-infected individuals in Uganda

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dc.contributor.author Otiti-Sengeri, J.
dc.contributor.author Colebunders, R.
dc.contributor.author Kempen, J. H.
dc.contributor.author Ronald, A.
dc.contributor.author Sande, M.
dc.contributor.author Katabira, E.
dc.date.accessioned 2010-02-10T15:00:02Z
dc.date.available 2010-02-10T15:00:02Z
dc.date.issued 2010
dc.identifier.issn 1525-4135
dc.identifier.doi http://dx.doi.org/10.1097/QAI.0b013e3181c313f0
dc.identifier.other ITG-C2A
dc.identifier.other CLINIC
dc.identifier.other U-HIVCLI
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other UPD18
dc.identifier.other ABSTRACT
dc.identifier.uri http://hdl.handle.net/10390/2949
dc.description.abstract AIM:: To determine the prevalence of loss of visual acuity and to describe the ocular diseases associated with vision loss among HIV-infected individuals in Uganda. METHODS:: One thousand two hundred twelve HIV-positive individuals aged 18 years or older attending an HIV treatment site in Kampala, Uganda, were consecutively screened for loss of visual acuity using a Snellen chart. Those found to have a visual acuity of 6/9 or less in 1 or both eyes had a detailed ocular diagnostic evaluation. RESULTS:: One hundred thirty-six patients [11.2%; 95% confidence interval (CI): 9.49-13.13] had a visual acuity of 6/9 or less in at least 1 eye, with 74 (6.1%; 95% CI: 8.54-12.21) having bilaterally reduced presenting visual acuity. Eighty-eight (7.3%; 95% CI: 8.57-12.28) had a visual acuity of 6/18 or worse in at least 1 eye. Ocular diseases associated with reduced vision included cataract 16 (11.8%), optic nerve disease 20 (14.7%), refractive errors 35 (24.3%), and uveitis 44 (32.3%). Other diagnoses observed included diabetic retinopathy, maculopathies, corneal scars, glaucoma, and squamous cell carcinoma of the conjunctiva. CONCLUSIONS:: Visual impairment and ocular disease affect a large proportion of HIV-infected individuals presenting for HIV care in Uganda. Most causes of vision loss were treatable or could have been prevented with appropriate ophthalmic and medical care. en
dc.language English en
dc.subject Viral diseases en
dc.subject HIV en
dc.subject AIDS en
dc.subject Ocular en
dc.subject Blindness en
dc.subject Prevalence en
dc.subject Visual loss en
dc.subject Diagnosis en
dc.subject Screening en
dc.subject Severity en
dc.subject Age distribution en
dc.subject Uveitis en
dc.subject Toxoplasmosis en
dc.subject Uganda en
dc.subject Africa, East en
dc.title The prevalence and causes of visual loss among HIV-infected individuals in Uganda en
dc.type Article en
dc.citation.issue 1 en
dc.citation.jtitle Journal of Acquired Immune Deficiency Syndromes en
dc.citation.volume 53 en
dc.citation.pages 95-101 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/19927007
dc.citation.jabbreviation J Acquire Immune Defic Syndr en


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