How is HIV retinopathy diagnosed?

Updated: Jun 12, 2019
  • Author: Robert A Copeland, Jr, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

A history and complete ophthalmologic examination with dilated funduscopic examination should be performed for diagnosis of HIV retinopathy. Significant retinal nerve fiber layer loss occurs in HIV patients without CMV retinitis but with low CD4+ counts. Third-generation optical coherence tomography (OCT) may be useful in establishing a diagnosis of early subclinical HIV-associated visual functional loss. [23]


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