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. 2017 Jul;23(7):1102–1109. doi: 10.3201/eid2307.161608

Table. Ophthalmic examination findings in a case–control study of ocular signs in Ebola virus disease survivors, Sierra Leone, 2016*.

Finding Survivors
Controls
No. % (97.5% CI)† No. % (97.5% CI)†
Best eye visual acuity‡
Missing data 3 56
Normal 59 74.7 (62.1–84.9) 37 75.5 (59.1–87.9)
Near normal 18 22.8 (13.1–35.1) 8 16.3 (6.4–31.6)
Moderate 1 1.3 (0–7.8) 3 6.1 (1–18.6)
Severe 1 1.3 (0–7.8) 0 0 (0–8.6)
Profound 0 0 (0–5.5) 1 2 (0–12.3)
Near total 0 0 (0–5.5) 0 0 (0–8.6)
Total
0
0 (0–5.5)

0
0 (0–8.6)
Intraocular pressure, mmHg
Missing data 35 74
Hypotonous (<5) 5 10.6 (3–25) 0 0 (0–13.2)
Reduced (6–10) 5 10.6 (3–25) 3 9.7 (1.6–28.2)
Within normal range (11–21) 35 74.5 (57.6–87.3) 26 83.9 (63.8–95.4)
Elevated (22–29) 1 2.1 (0–12.8) 2 6.5 (0.5–23.7)
High (>30)
1
2.1 (0–12.8)

0
0 (0–13.2)
Worst eye cup:disc ratio§
Bilateral ungradable 1 0
Unilateral ungradable 11 8
Normal (0.1–0.6) 73 90 (80.1–96.2) 79 75.2 (64.5–84.1)
Moderate (0.7–0.8) 7 8.6 (3.1–18.3) 23 21.9 (13.5–32.3)
Advanced (>0.9)
1
1.2 (0–7.6)

3
2.9 (0.5–9)
Cataract
All cataract 19 23.2 (13.6–35.3) 18 17 (9.7–27)
White cataract 6 7.3 (2.3–16.5) 0 0 (0–4.1)
White cataract with hypotony, IOP <5 mm Hg¶
4
80 (23.6–99.7)

NA
NA
Active anterior uveitis
Missing data 13 67
Anterior chamber cells present
5
7.3 (2–17.4)

4
10.5 (2.4–27)
Previous anterior uveitis
Missing data 12 65
Signs of previous anterior uveitis#
7
10 (3.6–21)

0
0 (0–10.4)
Vitreous signs**
Signs suggestive of active or past intermediate uveitis
8 (9.8)
9.8 (3.8–19.6)

14
13.3 (6.9–22.5)
Retinal signs**
Retinal hemorrhages 0 0 (0–5.2) 2 1.9 (0.2–7.5)
Retinal neovascularization 0 0 (0–5.2) 1 1 (0–5.9)
Papilledema 0 0 (0–5.2) 0 0 (0–4.1)
Retinal vasculitis 0 0 (0–5.2) 4 3.8 (0.8–10.4)
Macula hole 0 0 (0–5.2) 1 1 (0–5.9)
Retinal tears 1 1.2 (0–7.5) 1 1 (0–5.9)
Retinal detachment 0 0 (0–5.2) 2 1.9 (0.2–7.5)
Asteriod hyalosis 0 0 (0–5.2) 1 1 (0–5.9)
Myelinated nerve fibers 0 0 (0–5.2) 1 1 (0–5.9)
Benign flecked retina 1 1.2 (0–7.5) 0 0 (0–4.1)
Geographic retinal darkening and variants 16 19.5 (10.7–31.2) 13 12.4 (6.2–21.4)
White without pressure 18 22 (12.6–34) 20 19 (11.2–29.2)

*IOP, intraocular pressure; NA, not available; –, not applicable.
†Calculated by using exact binomial Clopper-Pearson method.
‡Grading based on International Classification of Diseases, Ninth Revision, Clinical Modification (true Snellen fractions).
§When only 1 cup:disc ratio was gradable, only that ratio was used for analysis.
¶Missing data on 2 patients.
#Posterior synechiae and/or pigment on anterior lens capsule, keratic precipitates but no anterior chamber inflammation, or both.
**Graded based on widefield retinal image.