PMID- 18716955 OWN - NLM STAT- MEDLINE DCOM- 20081124 LR - 20220330 IS - 1744-5078 (Electronic) IS - 0927-3948 (Linking) VI - 16 IP - 4 DP - 2008 Jul-Aug TI - Ophthalmic manifestations of immune reconstitution inflammatory syndrome associated with Cryptococcus neoformans. PG - 185-90 LID - 10.1080/09273940802204550 [doi] AB - PURPOSE: To describe the ophthalmic manifestations of immune reconstitution inflammatory syndrome (IRIS) associated with Cryptococcus neoformans. METHODS: Four HIV-positive patients on highly active anti-retroviral therapy (HAART) presented with marked optic disk swelling. RESULTS: Three months after the episode of IRIS, 2 of the patients maintained 20/20 visual acuity whose elevated intracranial pressure (ICP) was successfully managed, while 2 patients visual acuities were worse than 20/400 whose ICP was persistently elevated. CONCLUSION: Cryptococcus is another opportunistic infectious organism associated with IRIS with ophthalmic manifestations. Ophthalmologists have the opportunity to play a key role in the early diagnosis and management to prevent serious visual loss. FAU - Khurana, Rahul N AU - Khurana RN AD - Uveitis & Ocular Pathology, Dohney Eye Institute, Los Angeles, California 90033, USA. FAU - Javaheri, Micheal AU - Javaheri M FAU - Rao, Narsing AU - Rao N LA - eng PT - Case Reports PT - Journal Article PL - England TA - Ocul Immunol Inflamm JT - Ocular immunology and inflammation JID - 9312169 RN - 0 (Antigens, Fungal) RN - 0 (Diuretics) RN - O3FX965V0I (Acetazolamide) SB - IM MH - AIDS-Related Opportunistic Infections/diagnosis/drug therapy/*microbiology MH - Acetazolamide/therapeutic use MH - Adult MH - Antigens, Fungal/cerebrospinal fluid MH - Antiretroviral Therapy, Highly Active MH - CD4 Lymphocyte Count MH - Cryptococcosis/diagnosis/drug therapy/*microbiology MH - Cryptococcus neoformans/*isolation & purification MH - Diuretics/therapeutic use MH - Eye Infections, Fungal/diagnosis/drug therapy/*microbiology MH - Female MH - HIV Seropositivity/complications/drug therapy MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/diagnosis/drug therapy/*microbiology MH - Intracranial Hypertension/diagnosis/drug therapy/microbiology MH - Male MH - Middle Aged MH - Papilledema/diagnosis/drug therapy/microbiology MH - Retinal Hemorrhage/diagnosis/drug therapy/microbiology MH - Retrospective Studies MH - Spinal Puncture MH - Viral Load EDAT- 2008/08/22 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/08/22 09:00 PHST- 2008/08/22 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/08/22 09:00 [entrez] AID - 901776033 [pii] AID - 10.1080/09273940802204550 [doi] PST - ppublish SO - Ocul Immunol Inflamm. 2008 Jul-Aug;16(4):185-90. doi: 10.1080/09273940802204550.