Author/Authors :
Dohvoma, Viola Andin University of Yaoundé I - Faculty of Medicine and Biomedical Sciences, Cameroon , Dohvoma, Viola Andin Yaoundé Central Hospital - Ophthalmology Unit, Cameroon , Mvogo, Stève Robert Ebana University of Yaoundé I - Faculty of Medicine and Biomedical Sciences, Cameroon , Atipo-Tsiba, PW University Hospital of Brazaville, Congo , Obama, Odile Nga University of Yaoundé I - Faculty of Medicine and Biomedical Sciences, Cameroon , Koki, Godefroy University of Yaoundé I - Faculty of Medicine and Biomedical Sciences, Cameroon , Epée, Emilienne University of Yaoundé I - Faculty of Medicine and Biomedical Sciences, Cameroon , Epée, Emilienne Yaoundé Central Hospital - Ophthalmology Unit, Cameroon , Mvogo, Côme Ebana University of Yaoundé I - Faculty of Medicine and Biomedical Sciences, Cameroon , Mvogo, Côme Ebana Yaoundé Central Hospital - Ophthalmology Unit, Cameroon
Abstract :
Acute retinal necrosis (ARN) may reveal immunosuppression from HIV infection. The authors report a case in an 11-year-old girl who was referred from a health centre for progressive decreasing vision in the left eye. Examination of this eye revealed a blind eye from complicated panuveitis. She tested positive for HIV. Anti-retroviral therapy was started after a paediatric consult. Two weeks later, she developed ARN in the right eye. Response to systemic antiviral therapy was favourable. Bilateral blindness was prevented due to prompt and adequate treatment. We recommend routine HIV testing in all patients with uveitis.