Approach to Cataract Surgery in an Ebola Virus Disease Survivor with Prior Ocular Viral Persistence
Jill R. Wells, Ian Crozier, Colleen S. Kraft, Mary Elizabeth Sexton, Charles E. Hill, Bruce S. Ribner, Sina Bavari, Gustavo Palacios, William A. Pearce, Russell Van Gelder, Hans Grossniklaus, Lisa Cazares, Xiankun Zeng, Jessica G. Shantha, and Steven Yeh
Author affiliations: Emory University School of Medicine, Atlanta, Georgia, USA (J.R. Wells, W.A. Pearce, H. Grossniklaus, J.G. Shantha, S. Yeh); National Cancer Institute, Frederick, Maryland, USA (I. Crozier); Emory University Hospital, Atlanta (C.S. Kraft, M.E. Sexton, C.E. Hill, B.S. Ribner); United States Army Medical Research Institute of Infectious Disease, Frederick (S. Bavari, G. Palacios, L. Cazares, X. Zeng); University of Washington, Seattle, Washington, USA (R. Van Gelder)
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Figure
Figure. Cataract surgery in an Ebola virus disease survivor with prior ocular viral persistence. A) Slit lamp image shows green iris hue when patient developed panuveitis with heterochromia. B) The greenish coloration resolved but a dense intumescent cataract developed as shown in the second slit lamp image. C) Ultrasound biomicroscopic examination demonstrates the bulging of the anterior lens capsule (yellow arrow) and shallowing of the anterior chamber (*), which presents an increased risk for anterior and posterior capsular tears during surgery. D) Hematoxylin and eosin staining shows thickening of the removed anterior capsule. E) Results were negative for Ebola virus RNA by in situ hybridization. F) Positive control tissue.
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