Peripheral ulcerative keratitis and central retinal vein occlusion as the initial manifestation of HIV infection.

PURPOSE: To report a case of peripheral ulcerative keratitis and central vein occlusion as the initial manifestation of HIV infection.

METHOD: Case report.

RESULT: A 46-year-old male presented with history of pain, redness, and diminished vision of left eye. Examination revealed left eye peripheral ulcerative keratitis (PUK) and right eye central retinal vein occlusion (CRVO). The patient was found to be positive for HIV on serological evaluation.

CONCLUSION

Atypical ophthalmic manifestations may be the initial presenting feature in patients with HIV infection. This highlights the need for increased index of suspicion for HIV infection in young patients with PUK and/or CRVO.