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Zika Virus & Ocular Health

Recommendations of the Latin American Pediatric Ophthalmology Society (SOPLA) for ophthalmology management of pediatric patients with suspected contamination by Zika virus and new born patients with microcephaly

1. Babies with presumptive or confirmed diagnosis of microcephaly require at least one eye exam under MYDRIASIS with indirect ophthalmoscopy with the aim of detecting ocular macular or peripheral lesions, similar to retinocoroiditis scars (similar to less pigmented toxoplasma-histoplasmosis, or colobomatous-like).

2. All babies whose mother is suspected of contamination by Zika (skin rash, fever, arthralgia) should be examined.

3. If there are macular lesions, the baby will have low vision and must be referred to visual rehabilitation.

4. If the lesions are peripheral without macular damage, periodic follow up examinations are recommended (every 3 months the first year, then every 6 months after the first year).

5. The babies with Zika virus lesions should be examined every 3 months for a year. Babies without lesions should be examined every 6 months for one year.

6. Since the degree of tear contamination is not known, health care staff are recommended to wear protection and sterilization of equipment is required to conduct the examiniation.

7. Report cases with ocular findings to SOPLA for epidemic control and to the local Secretariat of Ocular Health.

8. Disseminate recommendations to Pediatric, Gynecology, and Neurology societies.

For more information contact SOPLA.

Dra Marcia Beatriz Tartarella

Presidente SOPLA

PAAO Main Office - 1301 S Bowen Road #450 - Arlington TX 76013 USA
Tel: 817-275-7553 Fax: 817-275-3961 Email: info@paao.org