Early-stage diffuse unilateral subacute neuroretinitis: improvement of vision after photocoagulation of the worm.

Autor: Garcia CA; Department of Ophthalmology, Federal University of Rio Grande do Norte, Natal, Brazil. prontoc.de.olhos@digi.com.br, Gomes AH, Garcia Filho CA, Vianna RN
Jazyk: angličtina
Zdroj: Eye (London, England) [Eye (Lond)] 2004 Jun; Vol. 18 (6), pp. 624-7.
DOI: 10.1038/sj.eye.6700742
Abstrakt: Purpose: To evaluate the visual outcome after direct laser photocoagulation of the worm in patients with early-stage diffuse unilateral subacute neuroretinitis (DUSN).
Methods: We report on four patients with DUSN diagnosed in its early stage, in whom the worm was identified and destroyed by laser photocoagulation.
Results: In all the four cases, resolution of the inflammatory multifocal lesions was achieved within 1 month of treatment. After that period and during follow-up (mean 11.5 months), visual acuity improved in three eyes and remained unchanged in one eye.
Conclusion: The diagnosis of DUSN in its early stage followed by prompt location and destruction of the worm by photocoagulation may improve vision of affected patients.
Databáze: MEDLINE