Care for eyes of patients with acquired immune deficiency syndrome complicated with cryptococcal meningitis

doi:10.3877/cma.j.issn.1674-1358.2016.02.014

Abstract

Abstract:

Objective

To summarize the complications and nursing methods for eyes of the patients with acquired immunodeficiency syndrome (AIDS) and Cryptococcal meningitis.

Methods

Total of 42 AIDS patients complicated with Cryptococcal meningitis infection in eyes were analyzed, while the nursing plans were summarized.

Results

There were 19 cases (37 eyes) with papilledemas; 6 cases (12 eyes) with optic atrophy; 2 cases (4 eyes) with multifocal choroiditis; 3 cases (6 eyes) with diplopias; one eye of a patient with cytomegalovirus retinitis (CMVR). Eleven cases were with normal fundus. Among the 84 eyes, the visual acuity of 17 eyes were light perception to 0.1; 12 eyes were 0.12-0.3. The cases with the visual acuities less than 0.3 were 34.52%. The visual acuities of 55 eyes with the 0.4 to 1.0.

Conclusions

In clinical nursing, it is beneficial for the patients to manage the condition and improve the quality of life, by observing the change of intracranial pressure, visual acuity and fundus closely, and the exercises of life skills and vision trainings for patients with low visions were improved.

Key words: Acquired immune deficiency syndrome (AIDS), Cryptococcal meningitis, Nursing

Xuejing Xu, Yuehong Liu, Binbin Liu, yu Dong. Care for eyes of patients with acquired immune deficiency syndrome complicated with cryptococcal meningitis[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2016, 10(02): 200-203.

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References 25

[1]	周其达，华键，韩杨, 等. 表现为隐球菌性脑膜炎,肺隐球菌病的艾滋病1例分析[J]. 中国医药导刊,2015,17(4):409-410
[2]	Park BJ, Wannemuehier KA, Marston BJ, et al. Estimation of the current global burden of crypyococcal meningitis among persons living with HIV/AIDS[J]. AIDS,2009,23(4):525-530.
[3]	毛菲菲，孙挥宇，李丹. 获得性免疫缺陷综合征合并隐球菌性脑膜炎的眼部病变特征分析[J]. 中华眼科杂志,2015,51(5):364-368.
[4]	Sperazza LC. Rehabilitation options for patients with low vision[J]. Rehabil Nurs,2001,26(4):148-151.
[5]	涂勤. 低视力的相关护理[J]. 中国实用护理杂志,2005,21(20):27-28.
[6]	宋晓燕. 艾滋病合并隐球菌性脑膜炎患者的护理[J]. 国际护理学杂志,2010,29(10):1523-1524.
[7]	刘琳，黄荆风. 68例老年慢性病患者在住院期间查出艾滋病的心理护理干预[J]. 医学信息,2011,24(3):1433-1434.
[8]	张娟. 艾滋病的心理护理[J]. 医学信息,2014,27(10):109.
[9]	王芬. 浅谈艾滋病患者的健康教育[J]. 医学信息,2014,27(5):481-483.
[10]	Zhu L, Huang R, Guo H, et al. Cryptoeoccal meningitis: descriptionof 3 cases and estimation of T cell subsets[J]. Indian J Pediatr,2014,81(6):536-540.
[11]	Tan DB, Yong YK, Tan HY, et al. Immunological profiles of immune restoration disease presenting as mycobacterial lymphadenifis and cryptococcal meningitis[J]. HIV medicine,2008,9(5):307-316.
[12]	Collazos J. Opportunistic infections of the CNS in patientswith AIDS:diagnosis and management[J]. CNS Drugs,2003,17(12):869-887.
[13]	Mamidi A, DeSimone JA, Pomerantz RJ. Central nervoussystem infections in individuals with HIV-1 infection[J]. J Neurovirol,2002,8(3):158-167.
[14]	Tintelnot K, Seht G, Polak A. Eeidemiological data of cryptococeosis in Austria,Gemmany and Switzerland:part of the ECMM survey in Europe[J]. Mycises,2001,44(9):345-350.
[15]	Johnston SR, Corbett EL, Foster O, et al. Raised intracranial pressure and visual complications in AIDS patients with Cryptococcal meningitis[J]. J Infect,1992,24(2):185-189.
[16]	李凤鸣主编. 中华眼科学(下册)[M]. 北京: 人民卫生出版社,2005,2911-2918.
[17]	Arevalo JF, Fuenmayor-Rivera D, Giral AE, et al. Indocyanine green videoangiography of multifocal Cryptococcus neoformans choroiditis in a patient with acquired immunodeficiency syndrome[J]. Retina,2001,21(5):537-541.
[18]	Vrabec TR. Posterior segment manifestations of HIV/AIDS[J]. Surv Ophthalmol,2004,49(2):131-157.
[19]	Andreola C, Ribeiro MP, de Carli CR, et al. Multifocal choroiditis in disseminated Cryptococcus neoformans infection[J]. Am J Ophthalmol,2006,142(2):346-348.
[20]	Rex JH, Larsen RA, Dismukes WE, et al. Catastrophic visual loss due to Cryptococcus neoformans meningitis[J]. Medicine (Baltimore),1993,72(4):207-224.
[21]	李海燕，叶俊杰. 巨细胞病毒性视网膜炎[J]. 中国医学科学院学报,2003,25(2):64-66.
[22]	Turaka K, Reddy R, Golshani A, et al. Bilateral ischemic maculopathy in acquired immune deficiency syndrome[J]. J Ophthalmic Inflamm Infect,2013,15,3(1):15.
[23]	Chen J, Chai C, Teoh SC. Cryptococcal-related exudative retinal detachment[J]. Eye(Lond),2011,25(9):1234-1235.
[24]	Moodley A, Rae W, Bhigjee A, et al. Early clinical and subclinical visual evoked potential and Humphrey’s visual field defects in cryptococcal meningitis[J]. PLoS One,2012,12(7):e52895.
[25]	曾玉，席淑新，叶志成, 等. 技能训练对成人低视力患者自我效能和生活质量的影响[J]. 中华护理杂志,2013,48(5):411-414.

眼部并发症	患眼数量	比例（%）
视乳头水肿	37	44.1
视神经萎缩	12	14.2
脉络膜炎	4	4.8
CMVR	1	1.2
外展神经麻痹	6	7.1
正常	26	32.1
合计	84	100.0

眼部并发症	患眼数量	比例（%）
视乳头水肿	37	44.1
视神经萎缩	12	14.2
脉络膜炎	4	4.8
CMVR	1	1.2
外展神经麻痹	6	7.1
正常	26	32.1
合计	84	100.0

组别	视力	患眼数量	比例（%）
低视力组	光感～0.1	17	20.2
	0.12～0.3	12	14.3
常规组	0.4～1.0	55	65.5
合计		84	100.0

组别	视力	患眼数量	比例（%）
低视力组	光感～0.1	17	20.2
	0.12～0.3	12	14.3
常规组	0.4～1.0	55	65.5
合计		84	100.0

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