Ophthalmic Manifestations among HIV Patients at the Main Tertiary Hospital in Freetown, Sierra Leone: A Cross-Sectional Study

Ophthalmic diseases are common among people living with HIV (PLHIV) in developing countries. However, there currently no published studies on ophthalmic complications PLHIV Sierra Leone. We conducted a cross-sectional study of presenting at Connaught Hospital Freetown, Leone from January through March 2020. Logistic regression was used to identify associations between manifestations and potential risk factors. A total 103 were studied (78.6% female, median age 41 years, 100% treatment-experienced). The CD4 cell count 374 cells/mm3 76.7% virologically suppressed. Overall, 44.7% participants had least one complication 51.5% poor visual acuity eye. most conditions dry eye (21.4%), cataract (20.4%), blepharitis (10.7%), nucleosclerosis (6.8%), conjunctivitis (5.8%), penguecula toxoplasmic retinochoroiditis (3.9%), posterior vitreous detachment (2.9%). In multivariate logistic analysis, (adjusted odds (aOR) 2.75, 95% confidence interval (CI) [1.12–6.78]; p = 0.040) < 100 (aOR 3.91, CI [1.07–14.31]; 0.028) independently associated disease. high proportion this complications. This calls for greater integration ophthalmologic care.