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Presentation preference Poster and Rapid fire
TitleOcular screening of children with HIV/AIDS in an AIDS care center
Accept poster if oral is not possible ?Yes
PurposeOcular manifestations of HIV/AIDS in children is rarely reported from eye care centers. There are no studies on ocular manifestations in children population with HIV/AIDS. To study ocular manifestations attributable to HIV/AIDS in an Indian paediatric population at an AIDS care centre
MethodsDetails of complete ophthalmic examination performed in children with HIV/AIDS through an eye screening programme at a pediatric HIV centre and systemic details were noted and analysed
Results239 children-mean age-11±4 years(boys-61%), with/without visual complaints included. Of these, 14% had ocular lesions attributable to HIV/AIDS. Stereopsis reduced(<600”arc) in 14 children, defective colour vision(7%), Schirmer test<10mm in 17% and TBUT<10 seconds in 24% were noted. Moderate to profound visual impairment in 0.8%. Anterior segment manifestations-12% and posterior segment-10%. Significantly, no ocular manifestations were noted in children affected through blood transfusion(n=4,1.8%) and injection drug use(IDU n=2,0.9%). However, in those with vertical transmission from mother(n=209), 12.9%(n=29) had ocular involvement. Statistically, no risk of ocular manifestations in children was noted based on age(p=0.727), schirmers(p=0.456), TBUT(p=0.58), CD4 at the start of ART(p=0.348) or during screening(p=0.363)
ConclusionAsymptomatic ocular manifestations attributable to HIV/AIDS occur in children even while on HAART without any active systemic disease which if left untreated can lead to irreversible vision loss. Drug related ocular side effects is on the rise. Ocular screening should be part of treatment protocol of all children with HIV/AIDS
Conflict of interestNo
Author 1
Last nameSRIDHARAN
Initials of first name(s)S
CityChennai
CountryIndia
Author 2
Last nameNegiloni
Initials of first name(s)K
CityChennai
CountryIndia
Author 3
Last nameKalaivani
Initials of first name(s)K
CityChennai
CountryIndia
Author 4
Last nameKumar
Initials of first name(s)S
CityChennai
CountryIndia
Author 5
Last nameRavi
Initials of first name(s)J
CityChennai
CountryIndia