Pattern of Ocular Manifestations among People Living with HIV/AIDS on Highly Active Anti Retroviral Therapy

Aim: To determine the pattern of ocular manifestations in people living with HIV/AIDS on highly active retroviral therapy (HAART).

Study Design: A descriptive hospital based cross sectional study.

Place and Duration of Study: Presidential Emergency Plan for AIDS Relief (PEPFAR) clinics of the University of Benin Teaching Hospital and Central Hospital, Benin City, Edo State, Nigeria. Between 1st July 2018 and 31st October 2019.

Methodology: Four hundred and fifty one (451) patients living with HIV/AIDS on HAART were the subjects of this study. An interviewer administered questionnaire was used. They all had a comprehensive eye examination done. General examination including their height, weight and blood pressure were done.

Results: There were 451 patients (104 males and 347 females with a male to female ratio of 0.3:1), the age range was 14 to 75 years with a mean age of 46.55 ± 10.77 years. Most of them, 305 (67.6%) were married. A Majority 210 (46.6%) of them had a CD4 count of 500 cells /microliter and more. Ocular morbidity was present in 385 (85.1%) respondents. The most common ocular morbidity was an uncorrected refractive error in 262 patients with presbyopia being the most common type. Other morbidities seen were cataract followed by allergic conjunctivitis and glaucoma. Ocular manifestations of HIV/AIDS occurred in 32 patients (7.1%). The most common was dry eyes in 15 (46.9%) of these patients followed by posterior uveitis secondary to presumed Toxoplasmosis in 9 (28.1%) patients. Other types of HIV associated ocular morbidities seen were conjunctival squamous cell carcinoma, retinal detachment, optic neuritis and Herpes Zoster ophthalmicus.

Conclusion: There is a reduction in the prevalence and a change in the type of ocular manifestations in people living with HIV/AIDS on HAART. They are more prone to developing other ocular morbidities due to their increased lifespan. Eye health care programs should be established for people living with HIV/AIDS.