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随着获得性免疫缺陷综合征(AIDS)发病率增高,生存期延长,眼部并发症也越来越多见。AIDS在眼部的表现大致包括微血管病变,感染和恶性病变。微血管形态和功能异常为基本病变,其意义在于标志着CD+4细胞计数的减少及严重的并发症;而视网膜坏死是致盲的首要原因,其中巨细胞病毒感染是最常见的致病因素,其特点是病程发展呈进行性,不易控制,治疗依靠应用全身或局部抗病毒制剂,手术治疗主要针对继发的视网膜脱离;偶发的恶性病变多发生于球周组织,多为卡波济氏肉瘤,下泪小管是最易累及的部位。
With the increased incidence of acquired immunodeficiency syndrome (AIDS), prolonged survival, eye complications are also more and more seen. AIDS in the performance of the eye generally includes microvascular disease, infection and malignant lesions. Microvascular morphology and dysfunction as the basic lesion, its significance lies in the reduction of CD 4 cell count and serious complications; and retinal necrosis is the primary cause of blindness, of which cytomegalovirus infection is the most common causative factors, its characteristics Is the progression of the disease was progressive, not easy to control, treatment depends on the application of systemic or local antiviral agents, surgical treatment mainly for secondary retinal detachment; occasional malignant lesions occurred in the peritubular tissue, mostly Kaposi’s sarcoma, the next Lacrimal tubules are the most easily affected parts.