1. Granular Hyperreflective Specks By Spectral Domain Optical Coherence Tomography As Signs Of West Nile Virus Infection: The Stardust Sign

    Granular Hyperreflective Specks By Spectral Domain Optical Coherence Tomography As Signs Of West Nile Virus Infection:  The Stardust Sign

    Purpose: To report the retinal findings and evolution of a visually symptomatic case of West Nile virus meningoencephalitis. Methods: Case report. Main outcome measures include serologic testing for West Nile virus as well as longitudinal funduscopic examination, fluorescein angiography, and spectral domain optical coherence tomography. Results: A 47-year-old diabetic man was referred for ophthalmic evaluation after hospitalization and treatment for West Nile meningoencephalitis. The patient presented with decreased vision and black spots in the right eye. Baseline visual acuity was 20/100 in the right eye and 20/40 in the left. Funduscopic examination and fluorescein angiography revealed multiple outer-retinal ...

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