Massive subhyaloid haemorrhage as a presenting feature of Cryptococcal meningitis (CM) in Acquired Immuno Deficiency Syndrome (AIDS) 381-383
Dr. Sheetal A Savur
Assistant Professor, Department of ophthalmology, Yenepoya
Medical College, Deralakatte , Mangalore 575003
Phone: 0824-2204672, Mobile : 09632352678
Cryptococcal meningitis is a life and vision threatening complication in patients with AIDS. Ocular morbidity usually occurs secondarily to intracranial involvement and may manifest as papillo-oedema, optic neuritis and optic atrophy. Our patient however, had an unusual presentation of unilateral subhyaloid haemorrhage, which has not been reported earlier. The visual loss in cases of CM is usually due to secondary optic atrophy or optic neuritis. Cases of AIDS, presenting with subhyaloid haemorrhage, should be investigated for CM. An early recognition and prompt management can prevent vision loss.