Methods: A hospital based observational study was done on 28 HIV–positive patients presenting to ART center with ocular complaints. Data were

collected using proper history taking, clinical examination, slit lamp examination, fundus examination, and laboratory investigations.

Results. Out of 28 patients, 16 were males and 12 were females with mean age of 42 years. HIV retinopathy was the most common HIV–associated

ophthalmic lesion while anterior uveitis was the most common anterior segment finding. Posterior segment lesions showed significant association

with low CD4–count of the patient. CMV retinitis, retinal detachment, chorioretinitis, and acute retinal necrosis were all seen in patients with CD4–

count less than 100 cells/mm3.

Conclusions–MCMV retinitis, herpes zoster ophthalmicus, and anterior uveitis are common ocular manifestations associated with HIV infection.

Low CD4–count is a risk as well as predictor for ocular manifestations.