A 28-year-old white male with AIDS - C3 staging, presented with an extensive hemorrhagic dark mass localized in the left orbit. No other ophthalmic findings were disclosed. Ultrasonography and computed axial tomographic scans showed orbital involvement. Orbital Kaposi's sarcoma is a rare finding and only a few cases have been reported. Systemic examination revealed other lesions suggestive of disseminated mucocutaneous Kaposi's sarcoma, oral candidiasis, membranous esophagitis and gramulomatous hepatitis. Eyelid incisional biopsy disclosed Kaposi's sarcoma. Despite intensive chemotherapy progression was aggressive with a fatal outcome.
MansourA.M.. Orbital findings in acquired immunodeficiency syndrome.Am J Ophthalmol1990; 110: 706–7.
7.
SollD.B., RedovanE.G.. Kaposi's sarcoma of the eyelid as the initial manifestation of AIDS.Ophthalmic Plast Reconstr Surg1989; 5: 49–51.
8.
ShulerJ.D., HollandG.N., MilesS.A.Kaposi sarcoma of the conjunctiva and eyelids associated with acquired immunodeficiency syndrome.Arch Ophthalmol1989; 107: 858–62.
9.
WeiterJ.J., JakobiecI.A., IwamotoT.. The clinical and morphologic characteristics of Kaposi's sarcoma.Am J Ophthalmol1980; 89: 546–52.
10.
Guex-Crosier. Diagnosis and treatment of ocular viral infections in AIDS patients.Rev Med Suisse Romande1998; 118: 941–7.
