The Changing Global Epidemic of HIV and Ocular Disease

ABSTRACT

Purpose: Overview of the evolving epidemiology of human immunodeficiency virus (HIV)-related ocular disease over time.

Method: Narrative review.

Results: HIV enhances susceptibility to opportunistic eye infections, has direct pathogenic effects, and places patients at risk of immune recovery inflammatory syndromes in previously infected eyes after starting highly-active antiretroviral therapy (HAART). Widespread availability of HAART has resulted in a decrease of infectious ocular conditions such as cytomegalovirus retinitis, toxoplasmic retinitis, squamous cell carcinoma of the conjunctiva, and microvascular retinopathy. However, large coexisting burdens of tuberculosis, herpesvirus infection and syphilis (among others) continue to contribute to the burden of ocular disease, especially in low-resource settings. Growing risks of cataract, retinopathy and retinal nerve fiber thinning can affect patients with chronic HIV on HAART; thought due to chronic inflammation and immune activation.

Conclusion: The changing epidemic of ocular disease in HIV-infected patients warrants close monitoring and identification of interventions that can help reduce the imminent burden of disease

KEYWORDS:

• HIV
• ocular disease
• opportunistic infection
• highly active antiretroviral therapy (HAART)
• eye
• retinopathy
• nerve fiber layer

Declaration Of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Additional information

Funding

The authors did not receive any specific funding for writing of this manuscript.