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Subretinal angiostrongyliasis-induced optic neuritis
A 27-year-old Thai male presented with progressive visual loss and a membrane-like floater in the right eye that had persisted for 1 month. He had a history of eating raw foods, including snails. His initial visual acuity was counting fingers at 1 ft and he had a relative afferent pupillary defect....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693582/ https://www.ncbi.nlm.nih.gov/pubmed/23818750 http://dx.doi.org/10.2147/OPTH.S43565 |
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author | Sinawat, Suthasinee Yospaiboon, Yosanan Sinawat, Supat |
author_facet | Sinawat, Suthasinee Yospaiboon, Yosanan Sinawat, Supat |
author_sort | Sinawat, Suthasinee |
collection | PubMed |
description | A 27-year-old Thai male presented with progressive visual loss and a membrane-like floater in the right eye that had persisted for 1 month. He had a history of eating raw foods, including snails. His initial visual acuity was counting fingers at 1 ft and he had a relative afferent pupillary defect. A movable larva with subretinal tracks was found in the subretinal space near a normal optic disc. Visually evoked potentials showed delayed latency, which indicated secondary retrobulbar optic neuritis. A diode laser was directly applied to the motile worm. The patient was subsequently prescribed oral prednisolone and albendazole. After treatment, his visual acuity was slightly improved at 2/60. Ocular manifestation is a very rare event resulting from parasitic infection. In only 1.1% of angiostrongyliasis cases is an Angiostrongylus cantonensis larva identified in the eye. Ocular angiostrongyliasis with optic neuritis may be secondary to mechanical injury and/or inflammatory reactions. Steroid treatment is recommended, although most patients have only slight visual improvement after treatment. |
format | Online Article Text |
id | pubmed-3693582 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-36935822013-07-01 Subretinal angiostrongyliasis-induced optic neuritis Sinawat, Suthasinee Yospaiboon, Yosanan Sinawat, Supat Clin Ophthalmol Case Report A 27-year-old Thai male presented with progressive visual loss and a membrane-like floater in the right eye that had persisted for 1 month. He had a history of eating raw foods, including snails. His initial visual acuity was counting fingers at 1 ft and he had a relative afferent pupillary defect. A movable larva with subretinal tracks was found in the subretinal space near a normal optic disc. Visually evoked potentials showed delayed latency, which indicated secondary retrobulbar optic neuritis. A diode laser was directly applied to the motile worm. The patient was subsequently prescribed oral prednisolone and albendazole. After treatment, his visual acuity was slightly improved at 2/60. Ocular manifestation is a very rare event resulting from parasitic infection. In only 1.1% of angiostrongyliasis cases is an Angiostrongylus cantonensis larva identified in the eye. Ocular angiostrongyliasis with optic neuritis may be secondary to mechanical injury and/or inflammatory reactions. Steroid treatment is recommended, although most patients have only slight visual improvement after treatment. Dove Medical Press 2013 2013-05-27 /pmc/articles/PMC3693582/ /pubmed/23818750 http://dx.doi.org/10.2147/OPTH.S43565 Text en © 2013 Sinawat et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Case Report Sinawat, Suthasinee Yospaiboon, Yosanan Sinawat, Supat Subretinal angiostrongyliasis-induced optic neuritis |
title | Subretinal angiostrongyliasis-induced optic neuritis |
title_full | Subretinal angiostrongyliasis-induced optic neuritis |
title_fullStr | Subretinal angiostrongyliasis-induced optic neuritis |
title_full_unstemmed | Subretinal angiostrongyliasis-induced optic neuritis |
title_short | Subretinal angiostrongyliasis-induced optic neuritis |
title_sort | subretinal angiostrongyliasis-induced optic neuritis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693582/ https://www.ncbi.nlm.nih.gov/pubmed/23818750 http://dx.doi.org/10.2147/OPTH.S43565 |
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