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Harshivinderjit S. Bains, MD, PhD; Lee M. Jampol, MD; Michael C. Caughron, MD; Jeffrey R. Parnell, MD

Arch Ophthalmol. 2003;121:205-207.

Objective  To describe the visual outcome, fundus appearance, and fluorescein angiographic findings of a patient diagnosed as having acute West Nile virus infection.

Methods  We conducted comprehensive eye examinations, including visual acuity testing and slitlamp and fundus examinations, along with fluorescein angiography at the initial and follow-up visits.

Results  A 62-year-old white woman had a 2-week history of floaters in her left eye along with symptoms of fatigue, a left-sided frontal headache, and a low-grade fever. She was found to have anterior uveitis, vitritis, and nonnecrotizing chorioretinitis in her left eye with similar but milder findings in the right eye. The anterior uveitis responded to topical steroids. Because of continued fevers and fatigue, a serologic test for West Nile virus immunoglobulin M was performed, and the results were found to be positive for this disease.

Conclusion  These unique eye findings, along with associated systemic signs and symptoms, can potentially indicate infection with the West Nile virus.

From the Departments of Ophthalmology (Drs Bains, Jampol, and Parnell) and Medicine (Dr Caughron), Feinberg School of Medicine, Northwestern University, Chicago, Ill.

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