Purpose: To assess retinal nerve fiber layer (RNFL) thickness in patients with human immunodeficiency virus (HIV) disease without cytomegalovirus retinitis (CMV). Design: A casecontrol study. Methods: The study includ...Purpose: To assess retinal nerve fiber layer (RNFL) thickness in patients with human immunodeficiency virus (HIV) disease without cytomegalovirus retinitis (CMV). Design: A casecontrol study. Methods: The study included 113 eyes of 65 patients in one center. Thickness of RNFL along a 3.4- mmdiameter circle centered on the optic nerve head was evaluated using third- generation optical coherence tomography. Patients in group A (39 eyes of 22 patients) were human immunode- ficiency virus- negative control subjects. Group B (36 eyes of 18 patients) was composed of HIV patients with no history of CMVretinitis and CD4 counts consistently above 100. Group C (38 eyes of 25 patients) comprised HIV patients with no history of CMV retinitis but a history of CD4 count less than 100 at some point lasting for at least 6 months. Results: The average RNFL thicknesses in groups A, B, and C were 103.33± 8.50 μ m, 103.30± 9.28 μ m, and 90.10± 12.50 μ m, respectively. Group C had significantly thinner overall RNFL than either of the groups A and B (Tukey- Kramer). This difference was most prominent in temporal, superior, and inferior retinal areas. No differencewas in nasal retinal area, nor between groups A and B in any of the areas. Conclusions: Significant RNFL thinning occurs in HIV patients without CMV retinitis and with low CD4 counts compared with the same subgroup of patients with CD4 count increased to above 100 and HIV- negative control subjects. Third- generation OCT may be useful in diagnosis of early subclinicalHIV- associated visual functional loss.展开更多
文摘Purpose: To assess retinal nerve fiber layer (RNFL) thickness in patients with human immunodeficiency virus (HIV) disease without cytomegalovirus retinitis (CMV). Design: A casecontrol study. Methods: The study included 113 eyes of 65 patients in one center. Thickness of RNFL along a 3.4- mmdiameter circle centered on the optic nerve head was evaluated using third- generation optical coherence tomography. Patients in group A (39 eyes of 22 patients) were human immunode- ficiency virus- negative control subjects. Group B (36 eyes of 18 patients) was composed of HIV patients with no history of CMVretinitis and CD4 counts consistently above 100. Group C (38 eyes of 25 patients) comprised HIV patients with no history of CMV retinitis but a history of CD4 count less than 100 at some point lasting for at least 6 months. Results: The average RNFL thicknesses in groups A, B, and C were 103.33± 8.50 μ m, 103.30± 9.28 μ m, and 90.10± 12.50 μ m, respectively. Group C had significantly thinner overall RNFL than either of the groups A and B (Tukey- Kramer). This difference was most prominent in temporal, superior, and inferior retinal areas. No differencewas in nasal retinal area, nor between groups A and B in any of the areas. Conclusions: Significant RNFL thinning occurs in HIV patients without CMV retinitis and with low CD4 counts compared with the same subgroup of patients with CD4 count increased to above 100 and HIV- negative control subjects. Third- generation OCT may be useful in diagnosis of early subclinicalHIV- associated visual functional loss.
