Massive subhyaloid haemorrhage as apresenting feature of Cryptococcalmeningitis (CM) in Acquired ImmunoDeficiency Syndrome (AIDS)

摘要

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.