Aim:To study the various ocular manifestations in HIV/AIDS patients and their correlation with CD4+ cell count. 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.

BACKGROUND:In this case report we describe a very rare case of symblepheron which hasn't been reported in literature till date, triggered by long standing cilia embedded in the subconjuctival space followed by regression of symblepheron by removing the cilia. CASE REPORT: A 65-year-old man, presented to the eye O.P.D of I.G.M.C. Shimla with complaints of irritation and foreign body sensation in the left eye from last 8-9 months. He had no history of trauma, chemical injury or surgery in left eye in the past. He had history of multiple treatments with topical antibiotics and lubricants for the complaints with no relief. Torch light examination revealed a whitish membrane in the lower palpebral conjunctiva. Slit lamp examination revealed two semilunar pseudopockets and partial symblepheron in lower fornix. Further probing revealed two eyelashes embedded in the subconjuctival space in one of the peudopockets. Search with a needle under topical anesthesia under slit lamp magnification enabled the cilia to be removed with little difficulty; the cilia were of the same size and appearance as the patient's own. He was prescribed topical antibiotics and the symblepheron regressed significantly in 8 weeks' time. CONCLUSION: Long term inflammation associated with foreign bodies like embedded cilium in the subconjuctival space may cause unusual presentations like symblepheron as in this case.

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