$re = '/(^[\s]*[^#\n]*Options.*)(\s+)(FollowSymLinks)/m';
$str = '# Indexes Includes FollowSymLinks SymLinksifOwnerMatch ExecCGI MultiViews
Options Indexes FollowSymLinks
Options Indexes FollowSymLinks
Options FollowSymLinks
Options -FollowSymLinks
Indexes FollowSymLinks
# Options Indexes FollowSymLinks
#Options Indexes FollowSymLinks
# Options Indexes FollowSymLinks
#Options Indexes FollowSymLinks';
preg_match_all($re, $str, $matches, PREG_SET_ORDER, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php