Ocular manifestations in Congenital Zika syndrome: About a case of torpedo maculopathy.

Congenital zika syndrome Spectral-domain optical coherence tomography Torpedo maculopathy Zika virus

Journal

American journal of ophthalmology case reports
ISSN: 2451-9936
Titre abrégé: Am J Ophthalmol Case Rep
Pays: United States
ID NLM: 101679941

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 15 10 2019
revised: 23 01 2020
accepted: 21 02 2020
entrez: 7 3 2020
pubmed: 7 3 2020
medline: 7 3 2020
Statut: epublish

Résumé

To describe pertinent imaging studies and clinical features of a torpedo maculopathy presumably associated with congenital Zika syndrome. A 23-month-old child, with no prematurity or microcephaly at birth, was examined in the Ophthalmology department of the University Hospital of Fort-de-France (Martinique, French West Indies), as part of a systematic screening of malformations in children suspected of maternal-fetal exposure to Zika virus. Zika infection was confirmed in the mother's serum by Reverse Transcriptase Polymerase Chain Reaction during the third trimester of pregnancy. Fundus examination found a unilateral hypopigmented retinal lesion, temporal to the macula, with an apex pointing to the fovea. Explorations in spectral-domain optical coherence tomography showed a subretinal cleft with broadening and attenuation of the interdigitation zone, elevation of the outer limiting membrane and the ellipsoid zone, without thinning of the outer retinal layers. There is a proven risk of congenital eye defects after Zika infection during pregnancy. We report here the first case of torpedo maculopathy without microcephaly, in a child suspected of maternal-fetal exposure to Zika.

Identifiants

pubmed: 32140614
doi: 10.1016/j.ajoc.2020.100626
pii: S2451-9936(20)30022-0
pii: 100626
pmc: PMC7052067
doi:

Types de publication

Case Reports

Langues

eng

Pagination

100626

Informations de copyright

© 2020 The Author(s).

Déclaration de conflit d'intérêts

The following authors have no financial disclosures.

Références

Lancet Infect Dis. 2016 Jun;16(6):653-660
pubmed: 26897108
Arch Ophthalmol. 2010 Apr;128(4):499-501
pubmed: 20385950
Eye (Lond). 2018 Aug;32(8):1315-1320
pubmed: 29556011
Curr Opin Ophthalmol. 2017 Nov;28(6):595-599
pubmed: 28795959
Emerg Infect Dis. 2008 Aug;14(8):1232-9
pubmed: 18680646
JAMA Ophthalmol. 2016 May 1;134(5):529-535
pubmed: 26865554
Arch Ophthalmol. 1992 Oct;110(10):1358-9
pubmed: 1417528
Lancet. 2016 Jun 18;387(10037):2502
pubmed: 27287830
Optom Vis Sci. 2003 Aug;80(8):556-63
pubmed: 12917574
Euro Surveill. 2014 Apr 03;19(13):
pubmed: 24721538
J Am Optom Assoc. 1997 Jun;68(6):373-6
pubmed: 9190137
JAMA Ophthalmol. 2017 May 1;135(5):440-445
pubmed: 28418539
Ophthalmology. 2016 Aug;123(8):1788-1794
pubmed: 27236271
Trans R Soc Trop Med Hyg. 1952 Sep;46(5):509-20
pubmed: 12995440
Clin Exp Ophthalmol. 2015 May-Jun;43(4):342-8
pubmed: 25266677

Auteurs

Charles Mesnard (C)

Ophthalmology Department, Martinique University Hospital, Martinique, French West Indies, Martinique.

Reda Benzekri (R)

Ophthalmology Department, Martinique University Hospital, Martinique, French West Indies, Martinique.

Maxime Chassery (M)

Ophthalmology Department, Martinique University Hospital, Martinique, French West Indies, Martinique.

Eric Ventura (E)

Ophthalmology Department, Martinique University Hospital, Martinique, French West Indies, Martinique.

Harold Merle (H)

Ophthalmology Department, Martinique University Hospital, Martinique, French West Indies, Martinique.

Classifications MeSH