Re: Shantha et  al.: Ophthalmic manifestations and causes of vision impairment in Ebola virus disease survivors in Monrovia, Liberia (Ophthalmology. 2017;124:170-177)

We read with interest the study by Shantha et  al1 on the ophthalmic manifestations and causes of visual impairment in Ebola virus disease survivors in Monrovia. Our recent case-control study has provided additional information to help assist in the interpretation of the lesion attributed to Ebola seen in the fundus photograph (Fig 3 in their paper). The lesion they reported as a “chorioretinal scar with characteristic hyperpigmented scars with hypopigmented halo” was also present in 14.6% of our Ebola cohort, as well as 16.2% of our control population, suggesting an alternative etiology common in West Africa, such as toxoplasmosis,2 may be the cause of this lesion.

Source: Ophthalmology - February 16, 2018 Category: Opthalmology Authors: Paul J. Steptoe, Janet T. Scott, Foday Sahr, Matthew Vandy, Simon P. Harding, Nicholas A.V. Beare, Malcolm G. Semple Tags: Correspondence Source Type: research