OCULAR MANIFESTATIONS OF HUMAN IMMUNODEFICIENCY VIRUS IN RELATION TO CD4 COUNT

AIM: This study evaluates varied type of ocular manifestation associated with HIV/AIDS in co relation to CD4 count METHODS: All patients with HIV/AIDS attending KIMS ART center between August 2008 to August 2010 were enrolled. 100 Cases which were proven HIV were enrolled in the study. Thorough ophthalmic examination was carried out in terms of slit lamp examination and fundus examination with 90D after dilatation of pupil. RESULTS: The posterior segment lesions (65%) were more commonly observed than anterior segment lesions (40%) in this study. The commonest manifestations encountered in this study were HIV retinopathy (30%), CMV retinitis (14%), Chorioretinitis (14%), Uveitis (8%), Complicated Cataract and Herpes zoster ophthalmicus (7%) each and Molluscum contagiosum and disc edema (4%) each, followed by dry eyes (3%). The other relatively rarer manifestations of this study were external hordeolum (2%), myopic fundus with cotton wool spots (2%) and Bell's palsy (2%), Kaposi sarcoma (1%), chronic dacryocystitis (1%), corneal opacity (1%) and Episcleritis (1%). CONCLUSION: In our study HIV retinopathy was most common ocular manifestation encountered with mild vision deterioration with relatively high CD4 count. CMV retinitis was next commonest lesion with varied degrees visual affection and CD4 count range. The posterior segment lesions being 65% and anterior segment lesions 35%.