AI Article Synopsis
- A 43-year-old woman experienced painless vision loss in her right eye, leading to the discovery of multifocal chorioretinitis and serous macular detachment associated with diffuse unilateral subacute neuroretinitis (DUSN).
- After comprehensive examinations, a live subretinal worm was found, confirming the DUSN diagnosis, which was treated with laser photocoagulation and antihelminthic therapy.
- Following treatment, the patient's vision improved and the retinal lesions healed, emphasizing the importance of prompt intervention to prevent permanent vision loss.
Article Abstract
Purpose: To report a case of multifocal chorioretinitis with serous macular detachment in diffuse unilateral subacute neuroretinitis (DUSN) and its diagnostic dilemma.
Design: Case report.
Method: A 43-year-old woman presented with painless diminution of vision of right eye for 1 week. Dilated fundoscopy showed mild disc edema, multiple deep grey-white retinitis lesions in posterior pole with mild vitritis. Optical coherence tomography revealed serous macular detachment. Fundus fluorescein angiography was suggestive of active retinitis. Comprehensive workup was unremarkable. Six days later, a live subretinal worm was noticed in inferotemporal retina. A diagnosis of DUSN was made and treated with laser photocoagulation followed by antihelminthic therapy. One month later, patients vision improved and chorioretinal lesions also healed.
Conclusion: This report presents a unique scenario of serous macular detachment in DUSN in addition to commonly seen multifocal deep retinitis lesions. Prompt treatment with laser, antihelminthic agent can prevent irreversible vision loss.
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| http://dx.doi.org/10.1080/09273948.2022.2061526 | DOI Listing |
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