Malarial Retinopathy: Falci Not So Fan-See!

Malarial retinopathy is an established entity in cases of complicated falciparum malaria and cerebral malaria in children whereas, in adults it is rarely reported. Here we report a case of a 21-year-old male, with uncomplicated falciparum malaria, referred to the ophthalmology outpatient department...

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Main Authors: Yogya Reddy, Reshma Ramakrishnan, Anamika Pandey, Ayushi ojha, Purva deore, Priyanka Gandhi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-10-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.714
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author Yogya Reddy
Reshma Ramakrishnan
Anamika Pandey
Ayushi ojha
Purva deore
Priyanka Gandhi
author_facet Yogya Reddy
Reshma Ramakrishnan
Anamika Pandey
Ayushi ojha
Purva deore
Priyanka Gandhi
author_sort Yogya Reddy
collection DOAJ
description Malarial retinopathy is an established entity in cases of complicated falciparum malaria and cerebral malaria in children whereas, in adults it is rarely reported. Here we report a case of a 21-year-old male, with uncomplicated falciparum malaria, referred to the ophthalmology outpatient department with a chief complaint of sudden blurring of vision in both eyes. On examination, both eyes showed mild blurring of nasal optic disc margins with multiple intraretinal, preretinal haemorrhages, subhyaloid haemorrhage involving the macula and Roth spots, suggestive of malarial retinopathy. The patient was observed closely for spontaneous resolution and was treated systemically with anti-malarial drugs including injection artesunate and tablet doxycycline. On subsequent follow-up after 2 weeks, improvement in visual acuity with complete resolution of haemorrhages occurred. We aspire to bring to light a rare entity of malarial retinopathy and the need to not over-treat the condition.
format Article
id doaj-art-e68d86c5683c4abbaf433e444f0feb08
institution OA Journals
issn 0972-0200
2454-2784
language English
publishDate 2021-10-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-e68d86c5683c4abbaf433e444f0feb082025-08-20T01:48:35ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842021-10-01322424510.7869/djo.714Malarial Retinopathy: Falci Not So Fan-See!Yogya ReddyReshma RamakrishnanAnamika PandeyAyushi ojhaPurva deorePriyanka GandhiMalarial retinopathy is an established entity in cases of complicated falciparum malaria and cerebral malaria in children whereas, in adults it is rarely reported. Here we report a case of a 21-year-old male, with uncomplicated falciparum malaria, referred to the ophthalmology outpatient department with a chief complaint of sudden blurring of vision in both eyes. On examination, both eyes showed mild blurring of nasal optic disc margins with multiple intraretinal, preretinal haemorrhages, subhyaloid haemorrhage involving the macula and Roth spots, suggestive of malarial retinopathy. The patient was observed closely for spontaneous resolution and was treated systemically with anti-malarial drugs including injection artesunate and tablet doxycycline. On subsequent follow-up after 2 weeks, improvement in visual acuity with complete resolution of haemorrhages occurred. We aspire to bring to light a rare entity of malarial retinopathy and the need to not over-treat the condition.https://journals.lww.com/10.7869/djo.714malaria retinopathyroth spotsdisc edemasub-hyaloid haemorhage
spellingShingle Yogya Reddy
Reshma Ramakrishnan
Anamika Pandey
Ayushi ojha
Purva deore
Priyanka Gandhi
Malarial Retinopathy: Falci Not So Fan-See!
Delhi Journal of Ophthalmology
malaria retinopathy
roth spots
disc edema
sub-hyaloid haemorhage
title Malarial Retinopathy: Falci Not So Fan-See!
title_full Malarial Retinopathy: Falci Not So Fan-See!
title_fullStr Malarial Retinopathy: Falci Not So Fan-See!
title_full_unstemmed Malarial Retinopathy: Falci Not So Fan-See!
title_short Malarial Retinopathy: Falci Not So Fan-See!
title_sort malarial retinopathy falci not so fan see
topic malaria retinopathy
roth spots
disc edema
sub-hyaloid haemorhage
url https://journals.lww.com/10.7869/djo.714
work_keys_str_mv AT yogyareddy malarialretinopathyfalcinotsofansee
AT reshmaramakrishnan malarialretinopathyfalcinotsofansee
AT anamikapandey malarialretinopathyfalcinotsofansee
AT ayushiojha malarialretinopathyfalcinotsofansee
AT purvadeore malarialretinopathyfalcinotsofansee
AT priyankagandhi malarialretinopathyfalcinotsofansee