DR. YOGYA REDDY

Dr.Reshma Ramakrishnan, DR. AYUSHI OJHA, DR. ANAMIKA PANDEY

Abstract

Malarial retinopathy is an established entity in cases of complicated falciparum malaria and cerebral malaria in children whereas, in adults it is rarely reported. Here we report a case of 21 year old male, with uncomplicated falciparum malaria, referred to ophthalmology out patient department with chief complaint of sudden blurring of vision in both eyes. On examination, both eyes showed mild blurring of nasal optic disc margins with multiple intraretinal, preretinal haemorrhages, subhyaloid haemorrhage involving the macula and roth spots, suggestive of malarial retinopathy. Patient was observed closely aiming for spontaneous resolution and was treated systemically with anti-malarial drugs including injection artesunate and tablet doxycycline. On subsequent follow up after 2 weeks, patient showed dramatic improvement in visual acuity with complete resolution of haemorrhages. We aspire to bring to light a rare entity of malarial retinopathy and the need to not over treat the condition.