Annals of Tropical Medicine and Public Health
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Year : 2012  |  Volume : 5  |  Issue : 5  |  Page : 474-478

Ocular manifestations in human immunodeficiency virus/acquired immuno deficiency syndrome patients and their correlation with CD4+ T-lymphocyte count

1 Department of Ophthalmology, IGMC, Shimla, Himachal Pradesh, India
2 Department of Medicine, IGMC, Shimla, Himachal Pradesh, India

Correspondence Address:
Ram Lal Sharma
Department of Ophthalmology, IGMC Shimla, Himachal Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.105136

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Aim: To study the various ocular manifestations in HIV/AIDS patients and their correlation with CD4+ cell count. Materials and Methods: In this study, 125 HIV-positive patients were studied for ocular features of HIV in the Department of Ophthalmology and Department of Medicine, for a period of 1 year. Statistical Analysis: Correlation of ocular findings with CD4+ cell count was analyzed using the Chi-Square test and 'P' valve was calculated at 95% confidence limit. Results: Out of 125 HIV-positive patients, 70 were men and 55 were women. Ninety-seven (78%) were in the age group of 21-40 years. Ocular findings were seen in 41(33%) patients. Heterosexual transmission was the most common risk factor 118(94%). HIV retinopathy was the most common ocular lesion in 19 patients (46%) followed by anterior uveitis in 4 patients (10%). Among systemic lesions, pulmonary tuberculosis was common in 27 (22%) patients followed by oral candidiasis in 15 (12%) patients. Out of 41 (33%) ocular finding positive patients, 35 (85%) had CD4+ cell count less than 200 cells/mm 3 . Conclusion: HIV retinopathy and opportunistic ocular infections were common in HIV/AIDS patients. Ocular lesions were more common when CD4+ cell count was less than 200 cells/mm 3 . All patients who had CD4+ cell count less than 200 cells/mm 3 must undergo complete ophthalmic checkup to rule out ocular lesions.

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