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. 1996 Aug;80(8):723–727. doi: 10.1136/bjo.80.8.723

Retinal blood flow indices in patients infected with human immunodeficiency virus.

C W Yung 1, A Harris 1, S Massicotte 1, G Chioran 1, G Krombach 1, R Danis 1, S Wolf 1
PMCID: PMC505589  PMID: 8949717

Abstract

AIMS/BACKGROUND: Abnormal blood flow dynamics are believed to contribute to the development of retinal microvascular disease in patients infected with human immunodeficiency virus (HIV). In this study, the scanning laser ophthalmoscope (SLO) was used, combined with fluorescein angiography, to measure retinal blood flow indices in HIV seropositive patients. METHODS: Arteriovenous passage time (AVP) and perifoveal capillary blood flow velocity (CFV) were measured in 23 HIV infected patients and 23 control subjects with SLO fluorescein angiography. RESULTS: No significant difference in AVP was found between the two groups. However, CFV was significantly reduced in HIV infected patients (p = 0.013). CONCLUSION: Patients infected with HIV show abnormal haemodynamics at the level of the perifoveal capillaries.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arend O., Wolf S., Jung F., Bertram B., Pöstgens H., Toonen H., Reim M. Retinal microcirculation in patients with diabetes mellitus: dynamic and morphological analysis of perifoveal capillary network. Br J Ophthalmol. 1991 Sep;75(9):514–518. doi: 10.1136/bjo.75.9.514. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Aronson A. J., Ordoñez N. G., Diddie K. R., Ernest J. T. Immune-complex deposition in the eye in systemic lupus erythematosus. Arch Intern Med. 1979 Nov;139(11):1312–1313. [PubMed] [Google Scholar]
  3. Brown G. C., Brown M. M., Hiller T., Fischer D., Benson W. E., Magargal L. E. Cotton-wool spots. Retina. 1985 Fall-Winter;5(4):206–214. doi: 10.1097/00006982-198500540-00003. [DOI] [PubMed] [Google Scholar]
  4. Cantrill H. L., Henry K., Jackson B., Erice A., Ussery F. M., Balfour H. H., Jr Recovery of human immunodeficiency virus from ocular tissues in patients with acquired immune deficiency syndrome. Ophthalmology. 1988 Oct;95(10):1458–1462. doi: 10.1016/s0161-6420(88)33011-3. [DOI] [PubMed] [Google Scholar]
  5. Chihara E. Pathogenesis of cotton wool patches: a clinical study. Jpn J Ophthalmol. 1983;27(2):397–403. [PubMed] [Google Scholar]
  6. Ditzel J. Changes in red cell oxygen release capacity in diabetes mellitus. Fed Proc. 1979 Oct;38(11):2484–2488. [PubMed] [Google Scholar]
  7. Engstrom R. E., Jr, Holland G. N., Hardy W. D., Meiselman H. J. Hemorheologic abnormalities in patients with human immunodeficiency virus infection and ophthalmic microvasculopathy. Am J Ophthalmol. 1990 Feb 15;109(2):153–161. doi: 10.1016/s0002-9394(14)75980-x. [DOI] [PubMed] [Google Scholar]
  8. Euler H. H., Kern P., Löffler H., Dietrich M. Precipitable immune complexes in healthy homosexual men, acquired immune deficiency syndrome and the related lymphadenopathy syndrome. Clin Exp Immunol. 1985 Feb;59(2):267–275. [PMC free article] [PubMed] [Google Scholar]
  9. Faber D. W., Wiley C. A., Lynn G. B., Gross J. G., Freeman W. R. Role of HIV and CMV in the pathogenesis of retinitis and retinal vasculopathy in AIDS patients. Invest Ophthalmol Vis Sci. 1992 Jul;33(8):2345–2353. [PubMed] [Google Scholar]
  10. Freeman W. R., Chen A., Henderly D. E., Levine A. M., Luttrull J. K., Urrea P. T., Arthur J., Rasheed S., Cohen J. L., Neuberg D. Prevalence and significance of acquired immunodeficiency syndrome-related retinal microvasculopathy. Am J Ophthalmol. 1989 Mar 15;107(3):229–235. doi: 10.1016/0002-9394(89)90304-8. [DOI] [PubMed] [Google Scholar]
  11. Freeman W. R., Lerner C. W., Mines J. A., Lash R. S., Nadel A. J., Starr M. B., Tapper M. L. A prospective study of the ophthalmologic findings in the acquired immune deficiency syndrome. Am J Ophthalmol. 1984 Feb;97(2):133–142. doi: 10.1016/s0002-9394(14)76082-9. [DOI] [PubMed] [Google Scholar]
  12. Freeman W. R., O'Connor G. R. Acquired immune deficiency syndrome retinopathy, pneumocystis, and cotton-wool spots. Am J Ophthalmol. 1984 Aug 15;98(2):235–237. doi: 10.1016/0002-9394(87)90360-6. [DOI] [PubMed] [Google Scholar]
  13. Geier S. A., Schielke E., Klauss V., Müller A., Einhäupl K. M., Goebel F. D., Tatsch K. Retinal microvasculopathy and reduced cerebral blood flow in patients with acquired immunodeficiency syndrome. Am J Ophthalmol. 1992 Jan 15;113(1):100–101. doi: 10.1016/s0002-9394(14)75763-0. [DOI] [PubMed] [Google Scholar]
  14. Glasgow B. J., Weisberger A. K. A quantitative and cartographic study of retinal microvasculopathy in acquired immunodeficiency syndrome. Am J Ophthalmol. 1994 Jul 15;118(1):46–56. doi: 10.1016/s0002-9394(14)72841-7. [DOI] [PubMed] [Google Scholar]
  15. Grefte A., van der Giessen M., van Son W., The T. H. Circulating cytomegalovirus (CMV)-infected endothelial cells in patients with an active CMV infection. J Infect Dis. 1993 Feb;167(2):270–277. doi: 10.1093/infdis/167.2.270. [DOI] [PubMed] [Google Scholar]
  16. Holland G. N., Gottlieb M. S., Yee R. D., Schanker H. M., Pettit T. H. Ocular disorders associated with a new severe acquired cellular immunodeficiency syndrome. Am J Ophthalmol. 1982 Apr;93(4):393–402. doi: 10.1016/0002-9394(82)90127-1. [DOI] [PubMed] [Google Scholar]
  17. Holland G. N., Pepose J. S., Pettit T. H., Gottlieb M. S., Yee R. D., Foos R. Y. Acquired immune deficiency syndrome. Ocular manifestations. Ophthalmology. 1983 Aug;90(8):859–873. doi: 10.1016/s0161-6420(83)80009-8. [DOI] [PubMed] [Google Scholar]
  18. Jabs D. A., Green W. R., Fox R., Polk B. F., Bartlett J. G. Ocular manifestations of acquired immune deficiency syndrome. Ophthalmology. 1989 Jul;96(7):1092–1099. doi: 10.1016/s0161-6420(89)32794-1. [DOI] [PubMed] [Google Scholar]
  19. Kuppermann B. D., Petty J. G., Richman D. D., Mathews W. C., Fullerton S. C., Rickman L. S., Freeman W. R. Correlation between CD4+ counts and prevalence of cytomegalovirus retinitis and human immunodeficiency virus-related noninfectious retinal vasculopathy in patients with acquired immunodeficiency syndrome. Am J Ophthalmol. 1993 May 15;115(5):575–582. doi: 10.1016/s0002-9394(14)71453-9. [DOI] [PubMed] [Google Scholar]
  20. Newsome D. A., Green W. R., Miller E. D., Kiessling L. A., Morgan B., Jabs D. A., Polk B. F. Microvascular aspects of acquired immune deficiency syndrome retinopathy. Am J Ophthalmol. 1984 Nov;98(5):590–601. doi: 10.1016/0002-9394(84)90245-9. [DOI] [PubMed] [Google Scholar]
  21. Palestine A. G., Rodrigues M. M., Macher A. M., Chan C. C., Lane H. C., Fauci A. S., Masur H., Longo D., Reichert C. M., Steis R. Ophthalmic involvement in acquired immunodeficiency syndrome. Ophthalmology. 1984 Sep;91(9):1092–1099. doi: 10.1016/s0161-6420(84)34201-4. [DOI] [PubMed] [Google Scholar]
  22. Pepose J. S., Holland G. N., Nestor M. S., Cochran A. J., Foos R. Y. Acquired immune deficiency syndrome. Pathogenic mechanisms of ocular disease. Ophthalmology. 1985 Apr;92(4):472–484. doi: 10.1016/s0161-6420(85)34008-3. [DOI] [PubMed] [Google Scholar]
  23. Pepose J. S., Nestor M. S., Holland G. N., Cochran A. J., Foos R. Y. An analysis of retinal cotton-wool spots and cytomegalovirus retinitis in the acquired immunodeficiency syndrome. Am J Ophthalmol. 1983 Jan;95(1):118–120. doi: 10.1016/0002-9394(83)90341-0. [DOI] [PubMed] [Google Scholar]
  24. Pomerantz R. J., Kuritzkes D. R., de la Monte S. M., Rota T. R., Baker A. S., Albert D., Bor D. H., Feldman E. L., Schooley R. T., Hirsch M. S. Infection of the retina by human immunodeficiency virus type I. N Engl J Med. 1987 Dec 24;317(26):1643–1647. doi: 10.1056/NEJM198712243172607. [DOI] [PubMed] [Google Scholar]
  25. Retinal cotton-wool patches in acquired immunodeficiency syndrome. N Engl J Med. 1982 Dec 30;307(27):1704–1705. doi: 10.1056/NEJM198212303072710. [DOI] [PubMed] [Google Scholar]
  26. Schmitt-Gräff A., Neuen-Jacob E., Rettig B., Sundmacher R. Evidence for cytomegalovirus and human immunodeficiency virus infection of the retina in AIDS. Virchows Arch A Pathol Anat Histopathol. 1990;416(3):249–253. doi: 10.1007/BF01678984. [DOI] [PubMed] [Google Scholar]
  27. Skolnik P. R., Pomerantz R. J., de la Monte S. M., Lee S. F., Hsiung G. D., Foos R. Y., Cowan G. M., Kosloff B. R., Hirsch M. S., Pepose J. S. Dual infection of retina with human immunodeficiency virus type 1 and cytomegalovirus. Am J Ophthalmol. 1989 Apr 15;107(4):361–372. doi: 10.1016/0002-9394(89)90659-4. [DOI] [PubMed] [Google Scholar]
  28. Yanoff M. Ocular pathology of diabetes mellitus. Am J Ophthalmol. 1969 Jan;67(1):21–38. doi: 10.1016/0002-9394(69)90004-x. [DOI] [PubMed] [Google Scholar]

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