Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infection

Background: Given the high prevalence and rate of disability from ocular pathologies, it is clinically and socially important to determine their prevalence in patients with tuberculosis and HIV infection. Purpose: To determine the prevalence of ocular diseases in patients with tuberculosis and HIV...

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Main Authors: A.V. Zborovskaia, N.V. Konovalova, T.S. Pyl’kevich, A.E. Dorokhova, L.A. Iurchenko
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2016-12-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2016/6/6-fulltext
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author A.V. Zborovskaia
N.V. Konovalova
T.S. Pyl’kevich
A.E. Dorokhova
L.A. Iurchenko
author_facet A.V. Zborovskaia
N.V. Konovalova
T.S. Pyl’kevich
A.E. Dorokhova
L.A. Iurchenko
author_sort A.V. Zborovskaia
collection DOAJ
description Background: Given the high prevalence and rate of disability from ocular pathologies, it is clinically and socially important to determine their prevalence in patients with tuberculosis and HIV infection. Purpose: To determine the prevalence of ocular diseases in patients with tuberculosis and HIV infection. Materials and Methods: Medical records related to regular medical check-up of 212 patients with tuberculosis (including those co-infected with HIV) at the Odessa Region Tuberculosis Dispensary in the year 2015 were retrospectively analyzed. Results: Ocular involvement was found in 86 (40.5%) patients (52 (60.4%) men and 34 (39.5%) women; mean age, 32.43 ± 7.45 years). Out of them, 52 (60.4%) patients (70 eyes) had both pulmonary and lymph node tuberculosis, whereas 34 (39.6%) patients had both tuberculosis and HIV. Focal chorioretinitis, disseminated chorioretinitis, keratitis, optic neuritis, scleritis and iridocyclitis were found in 31.3%, 22.09%, 17.44%, 8.13%, 8.13%, and 12.79%, respectively, of patients. Conclusion: Given the high prevalence of ocular pathology in patients with tuberculosis and HIV, ophthalmologists should give special attention to them. Posterior segment disorders (focal or disseminated chorioretinitis or optic neuritis) accounted for a major portion (61.52%) of the burden of ocular pathology in these patients. The frequency of glaucoma and hemorrhagic complications (retinal periphlebitis or vasculitis) in HIV-positive tuberculosis patients were 7.5 times and 6 times, respectively, higher than those in non-HIV tuberculosis patients.
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spelling doaj.art-130b571533c04170a331a788693f1a182024-01-16T08:34:00ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402016-12-016293110.31288/oftalmolzh201662931Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infectionA.V. Zborovskaia0N.V. Konovalova1T.S. Pyl’kevich2A.E. Dorokhova3L.A. Iurchenko4Filatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineBackground: Given the high prevalence and rate of disability from ocular pathologies, it is clinically and socially important to determine their prevalence in patients with tuberculosis and HIV infection. Purpose: To determine the prevalence of ocular diseases in patients with tuberculosis and HIV infection. Materials and Methods: Medical records related to regular medical check-up of 212 patients with tuberculosis (including those co-infected with HIV) at the Odessa Region Tuberculosis Dispensary in the year 2015 were retrospectively analyzed. Results: Ocular involvement was found in 86 (40.5%) patients (52 (60.4%) men and 34 (39.5%) women; mean age, 32.43 ± 7.45 years). Out of them, 52 (60.4%) patients (70 eyes) had both pulmonary and lymph node tuberculosis, whereas 34 (39.6%) patients had both tuberculosis and HIV. Focal chorioretinitis, disseminated chorioretinitis, keratitis, optic neuritis, scleritis and iridocyclitis were found in 31.3%, 22.09%, 17.44%, 8.13%, 8.13%, and 12.79%, respectively, of patients. Conclusion: Given the high prevalence of ocular pathology in patients with tuberculosis and HIV, ophthalmologists should give special attention to them. Posterior segment disorders (focal or disseminated chorioretinitis or optic neuritis) accounted for a major portion (61.52%) of the burden of ocular pathology in these patients. The frequency of glaucoma and hemorrhagic complications (retinal periphlebitis or vasculitis) in HIV-positive tuberculosis patients were 7.5 times and 6 times, respectively, higher than those in non-HIV tuberculosis patients.https://www.ozhurnal.com/en/archive/2016/6/6-fulltexttuberculosishiv infectionocular diseases
spellingShingle A.V. Zborovskaia
N.V. Konovalova
T.S. Pyl’kevich
A.E. Dorokhova
L.A. Iurchenko
Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infection
Journal of Ophthalmology
tuberculosis
hiv infection
ocular diseases
title Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infection
title_full Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infection
title_fullStr Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infection
title_full_unstemmed Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infection
title_short Prevalence of ocular diseases in patients with pulmonary tuberculosis and HIV infection
title_sort prevalence of ocular diseases in patients with pulmonary tuberculosis and hiv infection
topic tuberculosis
hiv infection
ocular diseases
url https://www.ozhurnal.com/en/archive/2016/6/6-fulltext
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AT nvkonovalova prevalenceofoculardiseasesinpatientswithpulmonarytuberculosisandhivinfection
AT tspylkevich prevalenceofoculardiseasesinpatientswithpulmonarytuberculosisandhivinfection
AT aedorokhova prevalenceofoculardiseasesinpatientswithpulmonarytuberculosisandhivinfection
AT laiurchenko prevalenceofoculardiseasesinpatientswithpulmonarytuberculosisandhivinfection