Karolo e ka hare ea leihlo e na le kamore ea ka hare, ea cornea le ea iris. Ho feta halofo ea baahi ba sa tšoaetseng HIV ba ka ba le bothata ba karolo e ka hare ho tloha ka mahlo ho tloha ho mahlo a omileng ho tšoaetso ea kokoana-hloko e ka bakang bofofu.
Tšoaro ea Mahlo a Kopantsoeng le HIV
Matšoao a amanang le HIV ao ho ka khonehang ho a hlahisa karolong e ka hare ho kenyelletsa:
- Iridocyclitis, ho ruruha ha iris
- Keratitis , tšoaetso ea cornea
- Microsporidiosis , tšoaetso e bakoang ke fungal e sa amehe haholo ka cornea
Iridocyclitis ke ho ruruha ha iris, e ka kopanngoa le mafu a mangata a tšoaetsanoang (OIs), ho kopanyelletsa le cytomegalovirus (CMV) , kokoana-hloko ea herpes simplex (HSV) , toxoplasmosis , lefuba le varicella zoster virus (VZV) . Bohloko ba ho ruruha bo amana haholo le ho teba ha OI 'me hangata e ka ba pontšo ea pele ea lefu le tsoelang pele. Linyeoe tse tebileng ka ho fetisisa li atisa ho kenyelletsa bakuli ba nang le lintlha tse tlaase tsa CD4 .
Iridocyclitis e ka boela ea bonahala ka lebaka la syphilis , hammoho le lithethefatsi tse kang rifabutin (e sebelisoang kamehla kalafo ea lefuba) le cidofovir (e sebelisetsoang ho sebetsana le linyeoe tse matla tsa CMV).
Iridocyclitis e ka hlahisa ka leihlo le le leng kapa ka bobeli, le matšoao a ka kenyelletsang mahlo a khubelu, ho qhaqha ka mokhoa o feteletseng, kutloisiso e khanyang (photophobia) le bana ba thata.
Iridocyclitis e atisa ho ntlafatsa ka katleho ea phekolo ea li-antiretroviral hammoho le ho phekola tšoaetso e tsebahalang.
Keratitis ke tšoaetso ea cornea e ka bakoang ke HSV, VSV, candidiasis (tšoaetso ea fungal e bonoang khafetsa ho batho ba nang le HIV), le mafu a mang a khonehang. Maemong a mangata, ho itšireletsa mafung ho etsa hore mokuli a be le keratitis, matšoao a eona a kenyelletsang mahlo a khubelu, ho senya ka ho feteletseng, bohloko ba mahlo, pono e hlakileng, kutloisiso e khanyang (fotophobia) le boikutlo ba ho ba le boikutlo bo botle mahlong.
Tlhaloso e ka ba mahlakore a mabeli (a kopanyang mahlo a mabeli) le a unilateral (a amanang le leihlo le leng). Mathata a ka 'na a e-ba teng ho tloha lithong tsa corneal le ho senyeheloa ke ho lahleheloa ke pono esita le bofofu.
Joaloka li-iridocyclitis, ho thehoa kalafo ea li-antiretroviral ho buelloa ho fokotsa kotsi ea mathata, hammoho le kalafo ea tšoaetso e tsebahalang (hangata e nang le acyclovir bakeng sa HSV le VZV, kapa e nepahetseng ho thibela li-candidiasis).
Microsporidiosis ke tšoaetso e bakoang ke fungal, e atisang ho hlaha ha palo ea CD4 ea mokuli e theoha ka tlase ho lisele tse 100, mL. Le hoja tšoaetso ea corneal e sa tloaeleha maemong a microsporidiosis, a ka hlahisa ka bohloko ba mahlo, ho senya ho feteletseng, pono e fosahetseng le ho utloahala ha leseli (photophobia).
Ntle le ho sebelisa phekolo ea li-antiretroviral , microsporidiosis hangata e tšoaroa ka lithethefatsi tsa azole tse kang albendazole le itraconazole. Marotholi a mangata a maiketsetso a mangata a boetse a sebelisoa ka nako ea phekolo ea azole.
Lisebelisoa:
Cunningham, E. le Margolis, T. "Lipontšiso tsa Oile ea Leihlo." New England Journal of Medicine. La 23 July, 1998; 339: 236-244.
Parrish, C .; O'Day, D .; le Hoyle, T. "Lefu la Fungal Corneal le sa bonahaleng e le ponahatso ea li-Ocular ea AIDS." Journal of American Journal of Ophthalmology. La 15 September, 1987; 104 (3): 302-303.
Rocha Lima, B. "Liketsahalo tsa Ophthalmic ka HIV." Digital Journal ea Ophthalmology. La 29 October, 2004; 10 (3): phetolelo ea inthaneteng.
Sudhakar, P .; Kedare, S .; le Berger, J. "Theouro-Ophthalmology ea HIV / AIDS Tlhahlobo ea lefu la HIV le AIDS." Neurobehavioral HIV Medicine . La 17 September, 2012; 2012 (4): 99-111.