A patient born with congenital Zika infection may have a number of ophthalmologic changes as a result. An ophthalmologic exam should be performed if congenital Zika infection is suspected.
Microcephaly was present in the infants.
Ophthalmologic findings are bilateral.
Characteristic triad:
(1) epiphora (excessive tearing)
(2) photophobia
(3) blepharospasm
Ophthalmologic changes may include:
(1) macular abnormalities (pigment mottling, lacunar maculopathy)
(2) increased intra-ocular pressure with possibility of congenital glaucoma
(3) corneal clouding
(4) buphthalmos (enlargement of the globe)
(5) optic nerve findings (hypoplasia with double ring sign, pallor, increased cup-to-disc ratio)
(6) chorioretinal atrophy and scarring
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Specialty: Ophthalmology, Infectious Diseases
