Retinal Microvasculopathy Is Common in HIV/AIDS Patients: A Cross-Sectional Study at the Cape Coast Teaching Hospital, Ghana
Identifieur interne : 000152 ( Main/Exploration ); précédent : 000151; suivant : 000153Retinal Microvasculopathy Is Common in HIV/AIDS Patients: A Cross-Sectional Study at the Cape Coast Teaching Hospital, Ghana
Auteurs : Emmanuel Kwasi Abu [Ghana] ; Samuel Abokyi [Ghana] ; Dorcas Obiri-Yeboah [Ghana] ; Richard Kobina Dadzie Ephraim [Ghana] ; Daniel Afedo [Ghana] ; Lawrence Duah Agyeman [Ghana] ; Samuel Bert Boadi-Kusi [Ghana]Source :
- Journal of Ophthalmology [ 2090-004X ] ; 2016.
Abstract
Url:
DOI: 10.1155/2016/8614095
PubMed: 28127467
PubMed Central: 5227161
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Retinal Microvasculopathy Is Common in HIV/AIDS Patients: A Cross-Sectional Study at the Cape Coast Teaching Hospital, Ghana</title>
<author><name sortKey="Abu, Emmanuel Kwasi" sort="Abu, Emmanuel Kwasi" uniqKey="Abu E" first="Emmanuel Kwasi" last="Abu">Emmanuel Kwasi Abu</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast</wicri:regionArea>
<wicri:noRegion>Cape Coast</wicri:noRegion>
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<author><name sortKey="Abokyi, Samuel" sort="Abokyi, Samuel" uniqKey="Abokyi S" first="Samuel" last="Abokyi">Samuel Abokyi</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast</wicri:regionArea>
<wicri:noRegion>Cape Coast</wicri:noRegion>
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<author><name sortKey="Obiri Yeboah, Dorcas" sort="Obiri Yeboah, Dorcas" uniqKey="Obiri Yeboah D" first="Dorcas" last="Obiri-Yeboah">Dorcas Obiri-Yeboah</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Department of Microbiology and Immunology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Department of Microbiology and Immunology, School of Medical Sciences, University of Cape Coast, Cape Coast</wicri:regionArea>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
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<author><name sortKey="Ephraim, Richard Kobina Dadzie" sort="Ephraim, Richard Kobina Dadzie" uniqKey="Ephraim R" first="Richard Kobina Dadzie" last="Ephraim">Richard Kobina Dadzie Ephraim</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Department of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
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<author><name sortKey="Afedo, Daniel" sort="Afedo, Daniel" uniqKey="Afedo D" first="Daniel" last="Afedo">Daniel Afedo</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
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<wicri:noRegion>Cape Coast</wicri:noRegion>
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<author><name sortKey="Agyeman, Lawrence Duah" sort="Agyeman, Lawrence Duah" uniqKey="Agyeman L" first="Lawrence Duah" last="Agyeman">Lawrence Duah Agyeman</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Department of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Department of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast</wicri:regionArea>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
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<author><name sortKey="Boadi Kusi, Samuel Bert" sort="Boadi Kusi, Samuel Bert" uniqKey="Boadi Kusi S" first="Samuel Bert" last="Boadi-Kusi">Samuel Bert Boadi-Kusi</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Department of Optometry, School of Allied Health Sciences, University of Cape Coast, Cape Coast</wicri:regionArea>
<wicri:noRegion>Cape Coast</wicri:noRegion>
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<series><title level="j">Journal of Ophthalmology</title>
<idno type="ISSN">2090-004X</idno>
<idno type="eISSN">2090-0058</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Purpose</italic>
. The purpose of this study was to evaluate the ocular disorders in HIV positive patients attending the Cape Coast Teaching Hospital, Ghana.<italic> Methods</italic>
. A cross-sectional study using systematic random sampling was conducted on 295 HIV positive patients. Data collection consisted of semistructured questionnaires, laboratory investigation, medical profile, and ophthalmic examination. Statistical association tests including <italic>χ</italic>
<sup>2</sup>
, independent <italic>t</italic>
-test, and ANOVA were done. A <italic>p</italic>
value ≤ 0.05 was considered statistically significant.<italic> Results</italic>
. Of the 295 participants, 205 (69.5%) were on antiretroviral therapy while 90 (30.3%) were not on therapy. Majority of the participants (162, 54.9%) were in clinical stage two, followed by stages three (68, 23.1%), one (62, 21%), and four (3, 1%), respectively. The overall prevalence of ocular disorders was 5.8%. The most common HIV related ocular disorder was HIV retinal microvasculopathy (58.8%), followed by herpes zoster ophthalmicus and<italic> Toxoplasma</italic>
retinochoroiditis, both representing 11.8% of ocular disorders seen. Cytomegalovirus retinitis, Bell's palsy, and optic neuritis were the least common (5.9%). CMV retinitis recorded the highest viral load of 1,474,676 copies/mL and mean CD4 count of 136 cells/mm<sup>3</sup>
. The mean CD4 count for participants with HIV related ocular disorders was significantly lower compared to participants without disorders (<italic>t</italic>
= 2.5, <italic>p</italic>
= 0.012). Participants with ocular disorders also recorded significantly higher mean viral loads than those who did not have ocular disorders (<italic>t</italic>
= 2.8, <italic>p</italic>
= 0.006).<italic> Conclusion</italic>
. Lower CD4 counts and high viral load copies were associated with the manifestation of HIV related ocular disorders.</p>
</div>
</front>
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<affiliations><list><country><li>Ghana</li>
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<tree><country name="Ghana"><noRegion><name sortKey="Abu, Emmanuel Kwasi" sort="Abu, Emmanuel Kwasi" uniqKey="Abu E" first="Emmanuel Kwasi" last="Abu">Emmanuel Kwasi Abu</name>
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<name sortKey="Abokyi, Samuel" sort="Abokyi, Samuel" uniqKey="Abokyi S" first="Samuel" last="Abokyi">Samuel Abokyi</name>
<name sortKey="Afedo, Daniel" sort="Afedo, Daniel" uniqKey="Afedo D" first="Daniel" last="Afedo">Daniel Afedo</name>
<name sortKey="Agyeman, Lawrence Duah" sort="Agyeman, Lawrence Duah" uniqKey="Agyeman L" first="Lawrence Duah" last="Agyeman">Lawrence Duah Agyeman</name>
<name sortKey="Boadi Kusi, Samuel Bert" sort="Boadi Kusi, Samuel Bert" uniqKey="Boadi Kusi S" first="Samuel Bert" last="Boadi-Kusi">Samuel Bert Boadi-Kusi</name>
<name sortKey="Ephraim, Richard Kobina Dadzie" sort="Ephraim, Richard Kobina Dadzie" uniqKey="Ephraim R" first="Richard Kobina Dadzie" last="Ephraim">Richard Kobina Dadzie Ephraim</name>
<name sortKey="Obiri Yeboah, Dorcas" sort="Obiri Yeboah, Dorcas" uniqKey="Obiri Yeboah D" first="Dorcas" last="Obiri-Yeboah">Dorcas Obiri-Yeboah</name>
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