The Ophthalmology Unit, UniversitiMalaysia Sarawak
(UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
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HIV retinopathy
by Dr. Lo Sheau Kang
A 63 year-old developed
shortness of breath and the chest X-ray showed changes suggested of
Pneumocystic Carinii pneumonitis (PCP). The HIV test was positive.
During treatment, he complained of blurring of vision. Examination revealed
bilateral multiple cotton wool spots typical of HIV retinopathy. Unlike CMV
retinitis, the whitish lesions are multiple and do not enlarge in size.
These cotton wool spots occur primarily in the posterior pole in the
peripapillary region.
