122 results match your criteria: "Neuroretinitis Diffuse Unilateral Subacute"
Travel Med Infect Dis
November 2024
National Referral Unit for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, CIBERINFEC, Madrid, Spain.
J Curr Ophthalmol
October 2024
Eye Research Center, Department of Ophthalmology, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Guilan, Iran.
Purpose: To report two cases of diffuse unilateral subacute neuroretinitis (DUSN) from northern Iran and to present the sequential imaging.
Methods: Two patients with large subretinal nematodes were evaluated and managed in our clinic. Serial fundus photography and optical coherence tomography (OCT) imaging were used to document the course of the disease.
Am J Ophthalmol Case Rep
December 2024
Department of Ophthalmology, Pallas Kliniken, Olten, Switzerland.
Purpose: To report the application of an infrared fundus imaging and navigated laser system to photocoagulate a nematode in diffuse unilateral subacute neuroretinitis (DUSN).
Observations: A 14-year-old boy with DUSN was treated with systemic albendazole and corticosteroids. Laser photocoagulation of the visible nematode was performed using a navigated laser in live infrared fundus view (Navilas 577s, OD-OS GmbH, Berlin, Germany).
Cureus
April 2024
Department of Ophthalmology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, MYS.
We report two cases of diffuse unilateral subacute neuroretinitis (DUSN) where multimodal imaging was used to assist in locating the nematode. The first case presented with clusters of migrating choroiditis with a suspicious tiny visualized worm noted on serial fundus photography. The second case had an atypical presentation with extensive exudative retinal detachment and a suspicious coiled worm in the subretinal space noted on optical coherence tomography.
View Article and Find Full Text PDFJ Travel Med
August 2024
Ophthalmology Department, Ramón y Cajal University Hospital, IRYCIS, Madrid, Spain.
Ocul Immunol Inflamm
January 2023
Department of Ophthalmology, Jawaharlal Institute Postgraduate Medical Education and Research, Puducherry, India.
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.
Ophthalmic Surg Lasers Imaging Retina
June 2021
Diffuse unilateral subacute neuroretinitis (DUSN) is a rare form of chorioretinitis caused by retinal infestation by nematode larvae. Definitive diagnosis requires visualization of a motile nematode, but this can be challenging because the nematode is small, translucent, and usually motionless with overlying media opacity from cellular inflammation. The authors describe a case of DUSN in which widefield swept-source optical coherence tomography angiography was used to localize a midperipheral intraretinal nematode facilitating subsequent clinical observation of movement.
View Article and Find Full Text PDFAm J Ophthalmol Case Rep
September 2021
Vitreous Retina Macula Specialists of Toronto, 3280 Bloor St. West, Suite 310, Etobicoke, ON, Canada.
Purpose: To describe a case of diffuse unilateral subacute neuroretinitis (DUSN), a rare condition that causes progressive vision loss following infection by a nematode using enface vitreous imaging.
Observations: We present the clinical findings of a 37-year-old female, clinically diagnosed with DUSN after a non-invasive multimodal imaging approach that included MultiColor scanning laser imaging and enface vitreous OCT, which revealed the nematode body and lacunae created by worm migration, respectively.
Conclusion And Importance: To our knowledge, this is the first reported case of lacunae visualized using enface vitreous optical coherence tomography (OCT), potentially marking the migration path of the nematode.
Taiwan J Ophthalmol
April 2021
Department of Ophthalmology, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur, Malaysia.
A healthy 35-year-old Malay woman presented with left eye pain for 1 week, and ocular examination showed evidence of panuveitis. She had granulomatous type of anterior uveitis with secondary high intraocular pressure (IOP). Fundus showed optic disc swelling, mild vitritis, and multiple subretinal lesions, which later formed a migratory track.
View Article and Find Full Text PDFAm J Ophthalmol Case Rep
June 2021
University of Puerto Rico, Medical Sciences Campus, Department of Ophthalmology, San Juan, PR, USA.
Purpose: To report on a case of diffuse unilateral subacute neuroretinitis (DUSN) that was successfully treated with a short course of oral albendazole.
Observations: A 51-year-old male presented with severe visual loss secondary to DUSN associated with a positive serology. Because the parasite could not be detected on fundoscopy, first-line treatment with photocoagulation could not be administered.
Ophthalmic Surg Lasers Imaging Retina
December 2020
Diffuse unilateral subacute neuroretinitis (DUSN) is a rare ocular infectious disease caused by migrating larvae of a nematode. DUSN is often a diagnostic challenge as it is difficult to identify the pathogenic nematode on funduscopic examination because it moves frequently and often resides within the subretinal space. Herein, the authors present a patient with unilateral, chronic visual loss who was noted to have a live, motile worm within the vitreous cavity.
View Article and Find Full Text PDFBMJ Case Rep
April 2020
Department of Vitreo-retina, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
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.
View Article and Find Full Text PDFOphthalmic Surg Lasers Imaging Retina
February 2020
Background And Objective: To report a unique case series of diffuse unilateral subacute neuroretinitis (DUSN) patients imaged with optical coherence tomography angiography (OCTA).
Patients And Methods: In this retrospective case series, multimodal imaging was performed in four patients with DUSN at the time of patient visit. The study patients underwent standard clinical treatment for DUSN.
J Ophthalmic Inflamm Infect
December 2019
Research Laboratory of Infectious Diseases in Ophthalmology, National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Diffuse unilateral subacute neuroretinitis (DUSN) is an ocular infectious disease that can lead to severe visual impairment and blindness. It usually occurs in healthy young individuals and depending on the stage of the disease, it may present as vitritis, multifocal gray-white lesions in the outer retina, and derangement of the retinal pigment epithelium, narrowing of the retinal vessels and optic atrophy. Parasites of different sizes and species have been proposed as the etiologic agent of DUSN, including Ancylostoma caninum, Toxocara canis, and others.
View Article and Find Full Text PDFOcul Immunol Inflamm
January 2021
Research Laboratory of Infectious Diseases in Ophthalmology, National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
DUSN is an infectious ocular disease that can lead to severe visual impairment and blindness. It usually occurs in young healthy individuals and depending on the stage of the disease, clinical presentation may range from mild vitritis and multifocal gray-white lesions in outer retina to optic atrophy.Parasites of different sizes and species have been proposed as the etiological agent of this disease.
View Article and Find Full Text PDFIndian J Ophthalmol
September 2019
Department of Vitreo-Retinal Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Indian J Ophthalmol
September 2019
Vitreoretina and Uveitis Services, L V Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India.
A 46-year-old male presented with best corrected visual acuity (BCVA) of 20/125 in his right eye. Fundus showed disc edema, multiple yellow outer retinal crops, macular edema and a live motile worm in the subretinal space. Diagnosis of diffuse unilateral subacute neuroretinitis (DUSN) was made and pattern scanning laser photocoagulation (PSLP) was performed along with administration of oral albendazole, diethylcarbamazine and corticosteroids.
View Article and Find Full Text PDFOphthalmol Retina
August 2019
Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University College of Physicians and Surgeons, New York, New York; Department of Pathology & Cell Biology, Stem Cell Initiative, Columbia University College of Physicians and Surgeons, New York, New York.
Oman J Ophthalmol
January 2019
Department of Retina, Aravind Eye Hospital, Puducherry, India.
Adv Exp Med Biol
July 2019
Department of Ophthalmology, Columbia University, Edward S. Harkness Eye Institute, NewYork-Presbyterian Hospital, New York, NY, USA.
Diffuse unilateral subacute neuroretinitis (DUSN) is caused by a subretinal live and mobile nematode. Acute phase: Patients usually present with severe pain, decreased vision, vitritis/papillitis, and tracks of grayish-white lesions-and a live nematode. Late phase: Arterial narrowing, optic atrophy, diffuse disruption of the retinal pigment epithelium (RPE), with severe visual loss.
View Article and Find Full Text PDFBMC Ophthalmol
September 2018
Department of Ophthalmology, Royal Victoria Hospital, 274 Grosvenor Road, Belfast, BT12 6BA, Northern Ireland.
Background: Diffuse unilateral subacute neuroretinitis (DUSN) is a rare cause of posterior uveitis in the United Kingdom. It typically presents unilaterally in children and young adults but rarely bilateral cases have been reported. It is also rare to have multiple worms in the same eye causing the clinical picture.
View Article and Find Full Text PDFBMJ Case Rep
December 2017
Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, India.
Am J Ophthalmol Case Rep
September 2017
Department of Ophthalmology, California Pacific Medical Center, San Francisco, CA, United States.
Purpose: Diffuse unilateral subacute neuroretinitis (DUSN) is often a challenging diagnosis to make. We present a DUSN case with its multimodal imaging to aid in the diagnosis, emphasizing the observations on optical coherence tomography angiography (OCTA).
Observations: The evolution of a DUSN case is presented.
Med Sci Monit
March 2017
Department of Ophthalmology, Medical University of Warsaw, Warsaw, Poland.
BACKGROUND The aim of this study was to assess the clinical course and distinctive features of different white dot syndromes (WDS) in patients attending the Ophthalmology Department, Medical University of Warsaw in the years 1995-2015. MATERIAL AND METHODS Sixty-two (62) patients (43 females and 19 males), aged 18 to 77 years, referred with a WDS were included in this prospective study, with observation period ranging from 5 months to 16 years. All patients underwent a complete ophthalmological examination and multimodal imaging studies.
View Article and Find Full Text PDFDiffuse unilateral subacute neuroretinitis is an ocular infectious disease caused by several distinct nematodes. Definite identification of the involved nematodes is rarely achieved. We report on the molecular-based genetic identification of an Ancylostoma ceylanicum hookworm implicated in a case of diffuse unilateral subacute neuroretinitis in a child.
View Article and Find Full Text PDF