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Ophthalmology Adverse Ocular Effects of Systemic Drugs 3e95977f

What is the most common eye lesion in HIV?

A
Kaposi Sarcoma of Lid
B
CMV Retinitis
C
Cotton wool spots
D
Choroiditis
High-Yield Explanation
Ans. is 'c' i.e., Cotton wool spots Ocular manifestations of AIDSo The most common abnormal finding on fundoscopic examination is cotton-wool spots.o Following ocular findings can be seen in AIDS:1) Retinal microvasculopathy -# Superficial & deep retinal hemorrhages occur in 15-40% cases# Multiple cotton wool spots occur in 50% cases.# Microaneurysms & telagiectasia may also be seen rarely.2) Usual ocular infections --# Herpes zoster ophthalmicus# Herpes simplex infections# Toxoplasmosis (Chorioretinitis)# Ocular tuberculosis, syphilis & fungal corneal ulcers3) Opportunistic infections# CMV retinitis# Candida endophthalmits# Cryptococcal infections# Choroiditis# Pneumocystis carinii4) Unusual neoplasms# Kaposi's sarcoma of eye lids & conjunctiva# Burkitt's lymphoma of the orbit5) Neuro-ophthalmic lesion# Isolated or multiple cranial nerve palsies resulting in paralysis of eyelids, extraocular muscles, and optic nerve.

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