Diffuse unilateral subacute neuroretinitis in Europe
| Autor: | V. Rodriguez-Salvador, M. A. Harto, José L. Menezo, A. M. Duch-Samper, J. A. Avino |
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| Rok vydání: | 1999 |
| Předmět: |
Male
Pathology medicine.medical_specialty Visual acuity Optic Neuritis Adolescent Fundus Oculi Eye disease medicine.medical_treatment Visual Acuity Retinitis Fundus (eye) 03 medical and health sciences 0302 clinical medicine medicine Diffuse unilateral subacute neuroretinitis Electroretinography Humans Optic neuritis Eye Infections Parasitic Fluorescein Angiography Laser Coagulation business.industry General Medicine medicine.disease Europe Ophthalmology Acute Disease 030221 ophthalmology & optometry medicine.symptom business Laser coagulation 030217 neurology & neurosurgery Retinopathy |
| Zdroj: | European journal of ophthalmology. 9(1) |
| ISSN: | 1120-6721 |
| Popis: | Background Diffuse unilateral subacute neuroretinitis is thought to be caused by a solitary helminth migrating within the subretinal space. Laser photocoagulation of the located worm is the preferred mode of therapy. Methods We describe the clinical and electrophysiological features of a case of a 15-year-old Caucasian male with a longstanding diffuse unilateral subacute neuroretinitis (DUSN), in whom two worms were seen in the fundus examination. Focal photocoagulation of the worms was applied as treatment. Results No signs of inflammation could be seen after treatment. Three months later, the patient was doing well. Follow-up examination 4 years later revealed an unchanged fundus appearance in the affected eye, with no evidence of progression of the syndrome. Conclusions If a worm is identified in DUSN, focal laser treatment of the located area is the treatment of choice, regardless of whether fundus changes suggest late stages of the disease. However, the eye of the patient should be thoroughly examined to rule out the presence of more than one worm that might cause the failure of therapy. |
| Databáze: | OpenAIRE |
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