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A 17‐year‐old female patient with a history of malaria fever, caused by Plasmodium falciparum, presented with sudden decrease of vision in her left eye 10 days after the onset of fever to an Ophthalmologist elsewhere. The patient was referred to our center one month later. On examination, vision was 20/20 and 20/1200 in the right and left eyes, respectively. The ophthalmic examination of the right eye was unremarkable. The left eye had relative afferent papillary defect and fundus examination revealed retinal hemorrhages, superior branch retinal vein occlusion, and neovascularization. Fluorescein angiography (FA) revealed venous obliteration along the superior arcade, with large areas of capillary dropout in the superior and temporal periphery [Figure 1]. The areas of interest were intravascular micro‐emboli (coiled structures) along the superior veins (arrows) on FA [Figure 2]. The resultant venous obstruction and capillary dropout areas were noted in the corresponding peripheral retina which was drained by these vessels, as observed on FA [Figure 3]. The superior vein obliteration was immediately distal to the micro‐embolus (at the bifurcation).

Demonstration of retinal Micro-emboli in a case of malaria retinopathy by fundus fluorescein angiography