We appreciate the observations made by Grover et al, in response to our article “Anterior segment manifestations of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)”.
We agree that the external photograph of the patient with facial skin lesions show more of maxillary herpetic lesions. Our intention was to depict a severe form of herpes zoster lesion in an AIDS patient. A more representative external photograph of herpes zoster ophthalmicus in a patient with AIDS is added with this reply [Fig. 1].
We agree that dacryocystitis, basal cell carcinoma, chalazion, bacterial folliculitis, madarosis, stye, scleritis, episcleritis, complicated cataract are also documented as well as rare anterior segment/adnexal lesions seen in patients with HIV/AIDS.
We have intentionally excluded orbital lesions in our article as we had stressed on anterior segment and common adnexal lesions seen in patients with HIV/AIDS, especially in India.
1. Chandravanshi SL, Rathore MK. Herpes zoster ophthalmicus or herpes zoster maxillaris? Indian J Ophthalmol. 2009;57:163–4
© 2009 Indian Journal of Ophthalmology | Published by Wolters Kluwer – Medknow
2. Biswas J, Sudharshan S. Anterior segment manifestations of human immunodeficiency virus/acquired immune deficiency syndrome Indian J Ophthalmol. 2008;56:363–75