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Abstract INTRODUCTION Acquired lnununodeficiency syndrome (AJDS) is now recognized as one of the major infectious disease epidemics of Ike century and as the primary health problem of the post war era (Mnss et tiL, 1987). The manifestations of the acquired immune deficiency syndrome include a. deficiency of cell mediated immunenl.~baDisms, oppo:t:tunistic infections, Kaposi’s sarcoma and odler unusual malignancies besides ophthalmic manifestations which have been well documented (Newmun 1984). (k\.lllr m8nlfestatioD!i of AIDS include: (1) A non infectious micro angiopathy, seea most often in the renna and consisting of cotton-woel spots with or without intraretimd bemorrhages and other micro vascular changes. (2) Opportunistic oeuler infe<:tiou (3) Coojundival,eyelid, ororbitll involvement by those neoplasms seen m AIDS patients (i.e, Kaposi’s sarcoma and Lymphoma). (4) Neuro-opbthal:mi.c lesioas (Jabs d at, 1969). The incidellc~ of AIDS bas been doubling every balfyear since 1979; every day new cases of AIDS arc beieg reported to the center for disease control (C.D.C). With the increasing incidence of AIDS mdl the high frequency of eye involvement, ()phtha1mQlo~ should be aware of its eye manifestations, as |