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Subretinal Migration of a Nematode in a Patient With Diffuse Unilateral Subacute Neuroretinitis

Subretinal Migration of a Nematode in a Patient With Diffuse Unilateral Subacute Neuroretinitis Abstract This otherwise healthy 20-year-old man experienced blurred vision in the right eye. His visual acuities were 20/40 OD and 20/20 OS. In the right macula, vitreous cells (+1) and multiple yellow-white lesions at the level of the outer sensory retina and pigment epithelium were present (Figure, A). The left eye was normal. Angiographically, the yellowwhite lesions in the right eye were hypofluorescent early and stained late; the slightly swollen optic disc stained late (Figure, B and C). These changes were initially diagnosed as unilateral acute posterior multifocal placoid pigment epitheliopathy. Four days later, the lesions in the macula had faded, and new lesions appeared inferior to the macula (Figure, D); diffuse unilateral subacute neuroretinitis was suspected. During the next week, the patient returned every other day for contact lens examination of the fundus and fundus photographs. The subretinal nematode that was clearly visible in the photographs (Figure A through F) References 1. Gass JDM. Stereoscopic Atlas Macular Diseases: Diagnosis and Treatment . 3rd ed. St Louis, Mo: Mosby-Year Book Inc; 1987:474-475. 2. Gass JDM, Callanan DG, Bowman B. Oral therapy in diffuse unilateral subacute neuroretinitis . Arch Ophthalmol . 1992;110:675-680.Crossref 3. Gass JDM, Braunstein RA. Further observations concerning the diffuse unilateral subacute neuroretinitis syndrome . Arch Ophthalmol . 1983;101:1689-1697.Crossref 4. Gass JDM, Gilbert WR Jr, Guerry RK, Scelto R. Diffuse unilateral subacute neuroretinitis . Ophthalmology . 1978;85:521-545.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Subretinal Migration of a Nematode in a Patient With Diffuse Unilateral Subacute Neuroretinitis

Archives of Ophthalmology , Volume 114 (12) – Dec 1, 1996

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Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1996.01100140724018
Publisher site
See Article on Publisher Site

Abstract

Abstract This otherwise healthy 20-year-old man experienced blurred vision in the right eye. His visual acuities were 20/40 OD and 20/20 OS. In the right macula, vitreous cells (+1) and multiple yellow-white lesions at the level of the outer sensory retina and pigment epithelium were present (Figure, A). The left eye was normal. Angiographically, the yellowwhite lesions in the right eye were hypofluorescent early and stained late; the slightly swollen optic disc stained late (Figure, B and C). These changes were initially diagnosed as unilateral acute posterior multifocal placoid pigment epitheliopathy. Four days later, the lesions in the macula had faded, and new lesions appeared inferior to the macula (Figure, D); diffuse unilateral subacute neuroretinitis was suspected. During the next week, the patient returned every other day for contact lens examination of the fundus and fundus photographs. The subretinal nematode that was clearly visible in the photographs (Figure A through F) References 1. Gass JDM. Stereoscopic Atlas Macular Diseases: Diagnosis and Treatment . 3rd ed. St Louis, Mo: Mosby-Year Book Inc; 1987:474-475. 2. Gass JDM, Callanan DG, Bowman B. Oral therapy in diffuse unilateral subacute neuroretinitis . Arch Ophthalmol . 1992;110:675-680.Crossref 3. Gass JDM, Braunstein RA. Further observations concerning the diffuse unilateral subacute neuroretinitis syndrome . Arch Ophthalmol . 1983;101:1689-1697.Crossref 4. Gass JDM, Gilbert WR Jr, Guerry RK, Scelto R. Diffuse unilateral subacute neuroretinitis . Ophthalmology . 1978;85:521-545.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Dec 1, 1996

References