History of Present Illness
A 28-year-old female in Monrovia, Liberia, presents with blurry vision in both eyes (OU). She has a past medical history of Ebola virus disease (EVD) diagnosed 6 months before her initial presentation. Vision loss in the right eye (OD) occurred 3 days after discharge from an Ebola treatment unit with subsequent loss of vision in the left eye (OS). Other associated symptoms include pain, light sensitivity, and tearing OU ( Fig. 18.1 ).
Exam
| OD | OS | |
|---|---|---|
| Visual acuity | Hand motion | Hand motion |
| Intraocular pressure (IOP) | 20 | 19 |
| Sclera/conjunctiva | Trace injection | Trace injection |
| Cornea | Corneal edema, keratic precipitates | Corneal edema, keratic precipitates |
| Anterior chamber (AC) | 1+ cell | 2+ cell with hyphema |
| Iris | Engorged Vessels | Engorged vessels |
| Lens | Posterior synechiae 360 degrees | Posterior synechiae 360 degrees |
| Anterior vitreous | 2–3+ vitritis | 2–3+ vitritis |
Slit lamp photograph of the right eye shows a uveitic white cataract with corneal edema. There are keratic precipitates on the corneal endothelium. No chorioretinal lesions were noted in either eye.
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