Unilateral Sudden Dimution of Vision and Loss of Consciousness in HIV Patients, What Caused it?

A 29-year-old male diagnosed with AIDS came with dimution of vision in left eye since 1 month before admission and loss of consciousness. His visual acuity was hand movement with inaccurate projection of rays in left eye. The posterior segment revealed vitreous fluid is cloudy, flame shaped hemorrhage.Due to low CD4+ count, serological test result and electrolyte blood test, we considered a HIV-related opportunistic ocular infection, specifically CMV infection and hyponatremia. Co-infection with CMV occurs in 75-85% of the patients with HIV infection, of whom, more than a half develops CMV retinitis. We treated with acylovir for 3 weeks. There are limitations in the availability of anti-CMV agents in our hospitals. This patient's treatment was continued in the hope of preventing irreversible vision loss.