Dear Editor:
The recent report titled "Macular atrophy and Zika virus infection" by Campos et al. was very interesting(1). The authors noted that "this is the first report of optical coherence tomography (OCT) imaging of macular atrophy in a child with presumed Zika virus infection-associated microcephaly." Undoubtedly, OCT might present challenges in cases of Zika virus infection, with positive or negative findings(1-4). OCT findings in infected cases have already been described in at least three reports(2-4) published prior to or simultaneously with the present report by Campos et al.(1). However, a search of the PubMED database (www.pubmed.com) by recorded date should list the report in "JAMA Ophthalmology" as the first report worldwide(4).
REFERENCES
1 Campos AG, Lira RP, Arantes TE. Optical coherence tomography of macular atrophy associated with microcephaly and presumed intrauterine Zika virus infection. Arq Bras Oftalmol. 2016;79(6):400-1.
2 de Oliveira Dias JR, Ventura CV, Borba PD, de Paula Freitas B, Pierroti LC, do Nascimento AP, et al. Infants with congenital Zika syndrome and ocular findings from São Paulo, Brazil: Spread of Infection. Retin Cases Brief Rep. 2017 Jan 2. doi: 10.1097/ICB.0000000000000518.
3 Ventura CV, Ventura LO, Bravo-Filho V, Martins TT, Berrocal AM, Gois AL, et al. Optical coherence tomography of retinal lesions in infants with congenital Zika syndrome. JAMA Ophthalmol. 2016;134(12):1420-7.
4 Rifkin LM, Duker JS. Use of retinal optical coherence tomography to detect congenital Zika syndrome. JAMA Ophthalmol. 2016;134(12):1427-8.