Why one doctor's eye turned from blue to green because of Ebola
American doctor Ian Crozier was treated for Ebola in Atlanta last year and declared free of the virus in his blood. A few months later, however, he discovered that the disease had made its way to his eye.
Crozier was infected while helping fight Ebola in Sierra Leone and spent six weeks recovering at Emory University Hospital. Crozier, 43, had multiple organ failures, spent 12 days on a ventilator and had to undergo more than three weeks of dialysis.
Upon being found clear of Ebola, Crozier returned to Emory to be treated for an eye infection. When steroids didn't help, doctors carefully took some fluid from inside the eyeball and sent it for testing.
RELATED TOPIC: How Much is Ebola Costing West Africa?
Sure enough, the Ebola virus was deep inside Crozier's eye, affecting his vision and causing pain. His vision deteriorated from perfect to 20/400, reported NBC.
The infection eventually resolved with more treatment, but the case is one more illustration that Ebola can leave even its lucky few survivors with long-lasting effects.
The New England Journal of Medicine recently published a report that while the Ebola virus disease can stay in the eye for weeks, it doesn’t seem to be in the tears or tissues that could infect others.
“This case highlights an important complication of Ebola virus disease with major implications for both individual and public health that are immediately relevant to the ongoing West African outbreak," Dr. Jay Varkey of Emory University Hospital and colleagues wrote in their report, which was also presented to a medical meeting in Denver, Colorado.
RELATED TOPIC: This Ebola Outbreak Might Not Go Away For A Very Long Time
“Although the pathogenesis of Ebola-associated uveitis is unknown, we believe that the severe, acute panuveitis that developed in our patient [Crozier] was a direct cytopathic effect of active replication of Ebola persisting in an immune-privileged organ,” the researchers wrote. “The acute onset of symptoms, unilateral location, and extreme elevation of intraocular pressure that were seen in our patient are clinical findings similar to infectious uveitis syndromes caused by herpesviruses, in which the pathogenesis is known to be a direct consequence of active viral replication.”
Further studies are needed to assess the persistence of Ebola during convalescence, to elucidate the mechanisms underlying this persistence in ocular and other immune-privileged tissue sites, and to develop strategies for the clinical management of Ebola complications.
Dubai's new smart neuro spinal hospital: need to know
We take a look at Dubai's new smart hospital.
What: The Neuro Spinal Hospital and Radiosurgery Centre is a new hospital featuring state-of-the-art technology for spinal, neurosurgical, neurological, orthopaedic, radiosurgery and cancer treatments. The 700 million AED hospital, (equivalent to £138 million), has 114 beds, smart patient rooms, and green spaces for patient rehabilitation, and is four times the capacity of its former premises in Jumeirah. It is also the UAE’s first hospital to have surgical robots.
Where: The hospital is located in the Dubai Science Park. Founded in 2005, Dubai Science Park is home to more than 350 companies from multinational corporations in life sciences, biotechnology and research; over 4,000 people work here each day.
Who: The UAE's Neuro Spinal Hospital and Radiosurgery Centre was first established in Jumeirah in 2002 by Dr. Abdul Karim Msaddi, as the first as the first "super-specialty" neuroscience hospital.
Why: With advanced diagnosis and robotics, the hospital will provide care across neuroscience, spine, orthopaedics and oncology for people residing in the UAE, as well as international patients.
Prof. Abdul Karim Msaddi, Chairman and Medical Director of the hospital, said: “We are proud to bring world-class healthcare services to Dubai and believe our next-generation hospital will be a game-changer for the emirate’s and the region’s medical industry.
"It will not only significantly increase the availability of specialist neuroscience and radiosurgery treatments and provide better patient care but help attract and develop local and international talent. Investing in the new centre represents our continued faith in the resilience of the region’s economy, as well as a testament to our ongoing drive towards healthcare innovation in the UAE.”