Open AccessMultimodal imaging-guided diagnosis, management and follow-up of a case of diffuse unilateral subacute neuroretinitis
Author(s) -
Obuli Ramachandran,
Rachana Mallidi,
Sagnik Sen,
Naresh Babu Kannan
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-234737
Subject(s) - medicine , fundus (uterus) , visual acuity , ophthalmology , retinal , radiology
A 45-year-old woman presented with diminished vision in the left eye. Visual acuity was 6/9 and fundus showed a very large live nematode near the macula along with inflammatory outer retinal lesions in the periphery. We diagnosed the case as diffuse unilateral subacute neuroretinitis and treated with immediate focal photocoagulation of the worm along with oral antihelminthic drugs and corticosteroids. The report highlights the importance of prompt laser and steroids in achieving good structural as well as the functional outcome, and the added significance of advanced imaging techniques in prognosticating such patients.