Chorioretinal Inflammatory Diseases

Case 9-14. HIV Retinopathy

Clinical Summary

A 24-year-old man with HIV retinopathy noticed decreasing visual acuity in his left eye. On examination, his visual acuity was 20/30. Slit-lamp biomicroscopy (A) revealed multiple cotton wool spots distributed along the inferotemporal and superotemporal arcades, mild edema of the optic disc attributed to n euro retinitis, and a star pattern of exudate directly in the fovea.

Optical Coherence Tomography

A horizontal OCT tomogram (B) through fixation delineated an abnormal band of increased backscatter directly within the fovea compatible with the exudate observed clinically Significant retinal edema was noted nasal to the center approaching the optic disc. The fluid appeared to be concentrated in the outer neurosensory retina and ex-

j hibited minimal reflectivity.

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