May 2004
Volume 45, Issue 13
ARVO Annual Meeting Abstract  |   May 2004
Intraocular Manifestations of West Nile Virus Infection
Author Affiliations & Notes
  • S. Garg
    Ophthalmology, Northwestern, Chicago, IL
  • H. Bains
    Ophthalmology, Northwestern, Chicago, IL
  • L. Jampol
    Ophthalmology, Northwestern, Chicago, IL
  • J. Wilson
    Retina Vitreous Associates, Oak Lawn, IL
  • Footnotes
    Commercial Relationships  S. Garg, None; H. Bains, None; L. Jampol, None; J. Wilson, None.
  • Footnotes
    Support  Unrestricted grant (Northwestern University) from Research to Prevent Blindness, Inc, New York, NY
Investigative Ophthalmology & Visual Science May 2004, Vol.45, 5275. doi:
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    • Get Citation

      S. Garg, H. Bains, L. Jampol, J. Wilson; Intraocular Manifestations of West Nile Virus Infection . Invest. Ophthalmol. Vis. Sci. 2004;45(13):5275.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract: : Purpose: West Nile virus infection can have intraocular manifestations; however, little information exists about the ophthalmologic sequelae of this condition. We present our clinical experience with four patients with vitreoretinal involvement and review the intraocular manifestations of West Nile virus infection. Methods: We evaluated four patients with vitreoretinal sequelae from West Nile virus infection. Findings were documented with clinical examination, fluorescein angiography and fundus photography. Results: Since our group first described intraocular involvement with West Nile virus infection in February 2003, other groups have also reported cases. Based on our clinical experience and literature review, we have identified several intraocular manifestations of West Nile virus infection. These include: 1) linear arrays of chorioretinitis, 2) widely scattered foci of chorioretinitis, 3) occlusive retinal vasculitis, 4) vitritis without local chorioretinitis, and 5) congenital chorioretinal scarring secondary to intrauterine transmission. Conclusion: Multiple intraocular manifestations of West Nile virus may be observed, some of which may be sight–threatening. As the West Nile virus spreads across the United States, ophthalmologists should be aware of this presently uncommon but important condition.

Keywords: retina • chorioretinitis • clinical (human) or epidemiologic studies: natural history 

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