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AIDS & THE EYE

Research has found approximately 75% of AIDS patients develop eye-related involvement. The retina is most commonly affected. The first signs of eye involvement are tiny retinal hemorrhages and localized fluids in the back of the eye.

In more advanced stages, the retina may develop infections with the cytomegalovirus (CMV). This virus kills retinal cells by moving from one cell to another. It's not uncommon to see the entire retina involved in a period of months. If this more serious type of infection does not respond to treatment, it can lead to blindness.

With AIDS, the eyelids and the white part of the eye (conjunctiva) can also be affected. This occurs as a result of a rare form of cancer called Kaposi's sarcoma. When these tissues are involved, it appears as a sensitive (purplish-red) fleshy mass. In the final stages of this tragic disease, the brain is frequently involved, either with direct infection by HIV or with infection. Needless to say, any person known to have the HIV virus requires more frequent examination of the eyes.

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