Refractive Surgical Practices In Persons With Human ImmunodeficiencyVirus (HIV) Positivity

People who are HIV-positive are now living longer, healthier lives, thanks to antiretroviral therapy and other treatment advances, and the number of HIV-positive people seeking LASIK, intraocular lenses following cataract removal, and similar procedures is likely to grow in coming years. Ahmad A. Aref, M.D., Pennsylvania State Hershey Eye Center, Pennsylvania State University College of Medicine, and colleagues recently investigated current care practices and opinions by sending a confidential online questionnaire to members of the International Society of Refractive Surgery of the American Academy of Ophthalmology.

Of the 25 percent of surgeons who responded, 51 percent considered persons with HIV to be acceptable candidates for elective refractive surgery, but only 12.5 percent considered people with AIDS to be so. The majority of respondents (72.7 percent) who perform these procedures in persons with HIV or AIDS said they take additional precautions, such as addressing one eye at a time rather than bilaterally, scheduling the patient last in a given day, and increasing attention to equipment and staff hygiene.

“Refractive surgery care practices and outcomes in HIV/ AIDS patients need to be formally studied, with the goal of ensuring optimal vision improvement and overall patient health and safety,” the authors conclude.

About the Academy-SOE Joint Meeting

The 2008 Joint Meeting of the American Academy of Ophthalmology and European Society of Ophthalmology is the largest and most comprehensive ophthalmic educational meeting in the world. It is in session November 8 to 11 at the Georgia World Congress Center, Atlanta, GA. Offerings include 277 continuing medical education courses, 179 “Breakfast with the Experts” roundtables, 95 skills transfer courses, and more than 100 hours of scientific program presentations, at no charge.

About the American Academy of Ophthalmology

AAO is the world’s largest association of eye physicians and surgeons-Eye M.D.s-with more than 27,000 members worldwide. Eye health care is provided by the three “O’s” – opticians, optometrists and ophthalmologists. It is the ophthalmologist, or Eye M.D., who can treat it all: eye diseases and injuries, and perform eye surgery. To find an Eye M.D. in your area, visit the Academy’s Web site at aao/

Source
Mary Wade
American Academy of Ophthalmology