Table 3.
Characteristic |
Maximum Opacity Score* |
P Value | |||||
1 |
2 |
3 |
4 |
5 |
6 |
||
No. of study participants | 8† | 5† | 9† | 28† | 47† | 25† | |
Demographics | |||||||
Median age, y | 36 | 39 | 39 | 44 | 37 | 37 | 0.78 |
Race/ethnicity | 0.07 | ||||||
White, n (%) | 4 (50.0) | 4 (80.0) | 2 (25.0) | 11 (39.3) | 22 (46.8) | 6 (24.0) | |
Black, n (%) | 3 (37.5) | 1 (20.0) | 1 (12.5) | 12 (42.9) | 18 (38.3) | 13 (52.0) | |
Other race, n (%) | 1 (12.5) | 0 (0.0) | 5 (62.5) | 5 (17.9) | 7 (14.9) | 6 (24.0) | |
Male sex, n (%) | 7 (87.5) | 3 (60.0) | 8 (100.0) | 18 (64.3) | 38 (80.8) | 13 (52.0) | 0.03 |
HIV exposure risk factor | 0.48 | ||||||
MSM only, n (%) | 3 (37.5) | 3 (60.0) | 5 (62.5) | 12 (42.9) | 29 (61.7) | 9 (36.0) | |
MSM and IDU, n (%) | 1 (12.5) | 0 (0.0) | 0 (0.0) | 1 (3.6) | 2 (4.3) | 0 (0.0) | |
IDU only, n (%) | 1 (12.5) | 1 (20.0) | 0 | 1 (3.6) | 1 (2.1) | 1 (4.0) | |
Heterosexual, n (%) | 2 (25.0) | 1 (20.0) | 1 (12.5) | 9 (32.1) | 12 (25.5) | 12 (48.0) | |
Other risk factor, n (%) | 1 (12.5) | 0 (0.0) | 2 (25.0) | 5 (17.9) | 3 (6.4) | 3 (12.0) | |
Medical factors | |||||||
Mean Karnofsky score | 79 | 68 | 80 | 74 | 76 | 70 | 0.19 |
Median hemoglobin value, g/dL | 10.9 | 12.0 | 12.3 | 11.6 | 11.5 | 10.8 | 0.16 |
Treatment factors | |||||||
On cART‡, n (%) | 6 (75.0) | 4 (80.0) | 7 (87.5) | 19 (67.9) | 33 (71.7) | 16 (64.0) | 0.84 |
Receiving anti-CMV drugs§ in past 28 days, n (%) | 3 (37.5) | 4 (80.0) | 6 (75.0) | 16 (57.1) | 32 (69.6) | 17 (68.0) | 0.44|| |
Currently on anti-CMV drugs§, n (%) | 3 (37.5) | 4 (80.0) | 6 (75.0) | 15 (53.6) | 30 (65.2) | 15 (60.0) | 0.51¶ |
Receiving antiherpetic drugs#, n (%) | 3 (37.5) | 1 (20.0) | 1 (12.5) | 4 (14.3) | 6 (13.0) | 10 (40.0) | 0.08 |
Laboratory values | |||||||
Median CD4+ T-lymphocyte count, cells/μL | 58 | 18 | 55 | 49 | 20 | 20 | 0.006 |
CD4+ T-lymphocyte count thresholds | |||||||
<100 cells/μL, n (%) | 5 (62.5) | 3 (75.0) | 7 (77.8) | 20 (74.1) | 44 (95.6) | 23 (92.0) | 0.04 |
<50 cells/μL, n (%) | 4 (50.0) | 3 (75.0) | 2 (22.2) | 14 (51.8) | 37 (80.4) | 22 (88.0) | 0.0007 |
Median CD8+ T-lymphocyte count (cells/μL) | 576 | 331 | 523 | 271 | 311 | 141 | 0.0004 |
CD8+ T-lymphocyte count | |||||||
<520 cells/μL, n (%) | 3 (37.5) | 4 (80.0) | 4 (44.4) | 18 (69.2) | 35 (77.8) | 20 (87.0) | 0.04 |
<400 cells/μL, n (%) | 3 (37.5) | 4 (80.0) | 4 (44.4) | 17 (65.4) | 27 (60.0) | 19 (82.6) | 0.14 |
Mean current HIV RNA blood level (log10 copies/mL) | 2.4 | 4.4 | 3.8 | 4.4 | 4.7 | 4.9 | <0.0001 |
Current HIV RNA blood level <400 copies/mL, n (%) | 4 (57.1) | 1 (20.0) | 3 (37.5) | 4 (15.4) | 4 (10.0) | 1 (4.4) | 0.009 |
Mean maximum HIV RNA blood level (log10 copies/mL) | 5.4 | 5.4 | 5.5 | 5.4 | 5.4 | 5.8 | 0.14 |
Eye characteristics | |||||||
Bilateral CMV retinitis, n (%) | 4 (50.0) | 1 (20.0) | 3 (33.3) | 6 (21.4) | 16 (34.0) | 14 (56.0) | 0.14 |
Zone 1 involvement in either eye, n (%) | 2 (25.0) | 1 (20.0) | 7 (77.8) | 11 (39.3) | 21 (44.7) | 15 (60.0) | 0.11 |
Extent of CMV lesion, n (percentage of individuals with ≥25% involvement in either eye) | 4 (50.0) | 1 (20.0) | 2 (22.2) | 7 (25.0) | 15 (31.9) | 9 (36.0) | 0.74 |
Immune recovery uveitis in either eye**, n (%) | 1 (12.5) | 1 (20.0) | 1 (11.1) | 5 (17.9) | 4 (8.5) | 3 (12.0) | 0.89 |
The highest score assigned to any lesion in either eye by the Fundus Photograph Reading Center.
In calculating percentages, denominators were based on the number of eyes with available data for each characteristic.
For study purposes, cART was defined as a combination of at least 3 antiretroviral drugs.
Ganciclovir, valganciclovir, foscarnet, cidofovir, or fomivirsen administered by any route.
P value = 0.96, excluding study participants with opacity scores of 1.
P value = 0.60, excluding study participants with opacity scores of 1.
Antiherpetic drugs other than anti-CMV agents, including acyclovir, valaciclovir, or famciclovir.
As reported by study investigators, based on the presence of a prominent vitreous inflammatory reaction in study participants with laboratory evidence of immune recovery (current CD4+T-lymphocyte count >100 cells/μL with a nadir <100 cells/μL).19