Type II Acute Macular Neuroretinopathy Secondary to Malaria
To the best of our knowledge, we present the first case of type II acute macular neuroretinopathy (AMN) exhibiting in a patient suffering from malarial retinopathy concomitant with cerebral malaria acquired after travelling to West Africa without taking the necessary antimalarial prophylaxis. The pa...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2024/1577127 |
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| author | Alastair David Bezzina Jeremy Spiteri Bailey Isaac Bertuello |
| author_facet | Alastair David Bezzina Jeremy Spiteri Bailey Isaac Bertuello |
| author_sort | Alastair David Bezzina |
| collection | DOAJ |
| description | To the best of our knowledge, we present the first case of type II acute macular neuroretinopathy (AMN) exhibiting in a patient suffering from malarial retinopathy concomitant with cerebral malaria acquired after travelling to West Africa without taking the necessary antimalarial prophylaxis. The patient complained of bilateral blurring of vision after being removed off sedation whilst at the intensive care unit. Subsequent examination revealed bilateral retinal haemorrhages, cotton-wool spots, and foveal pigmentary changes in keeping malarial retinopathy. Macular optical coherence tomography (OCT) revealed patchy hyperreflective changes at the level of the outer plexiform and outer nuclear layers (ONL) in keeping with the areas of deep capillary plexus flow void noted on OCT-angiography (OCT-A). This case report sheds more light on the extent of neurosensory retinal ischaemia in malarial retinopathy and showcases a new imaging biomarker which may be utilized in assessing and quantifying the functional deficit created by this disease. |
| format | Article |
| id | doaj-art-dc4d9c3511fe4e72a00994ee3af521a5 |
| institution | Kabale University |
| issn | 2090-6730 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-dc4d9c3511fe4e72a00994ee3af521a52025-02-03T07:23:38ZengWileyCase Reports in Ophthalmological Medicine2090-67302024-01-01202410.1155/2024/1577127Type II Acute Macular Neuroretinopathy Secondary to MalariaAlastair David Bezzina0Jeremy Spiteri Bailey1Isaac Bertuello2Ophthalmology DepartmentOphthalmology DepartmentOphthalmology DepartmentTo the best of our knowledge, we present the first case of type II acute macular neuroretinopathy (AMN) exhibiting in a patient suffering from malarial retinopathy concomitant with cerebral malaria acquired after travelling to West Africa without taking the necessary antimalarial prophylaxis. The patient complained of bilateral blurring of vision after being removed off sedation whilst at the intensive care unit. Subsequent examination revealed bilateral retinal haemorrhages, cotton-wool spots, and foveal pigmentary changes in keeping malarial retinopathy. Macular optical coherence tomography (OCT) revealed patchy hyperreflective changes at the level of the outer plexiform and outer nuclear layers (ONL) in keeping with the areas of deep capillary plexus flow void noted on OCT-angiography (OCT-A). This case report sheds more light on the extent of neurosensory retinal ischaemia in malarial retinopathy and showcases a new imaging biomarker which may be utilized in assessing and quantifying the functional deficit created by this disease.http://dx.doi.org/10.1155/2024/1577127 |
| spellingShingle | Alastair David Bezzina Jeremy Spiteri Bailey Isaac Bertuello Type II Acute Macular Neuroretinopathy Secondary to Malaria Case Reports in Ophthalmological Medicine |
| title | Type II Acute Macular Neuroretinopathy Secondary to Malaria |
| title_full | Type II Acute Macular Neuroretinopathy Secondary to Malaria |
| title_fullStr | Type II Acute Macular Neuroretinopathy Secondary to Malaria |
| title_full_unstemmed | Type II Acute Macular Neuroretinopathy Secondary to Malaria |
| title_short | Type II Acute Macular Neuroretinopathy Secondary to Malaria |
| title_sort | type ii acute macular neuroretinopathy secondary to malaria |
| url | http://dx.doi.org/10.1155/2024/1577127 |
| work_keys_str_mv | AT alastairdavidbezzina typeiiacutemacularneuroretinopathysecondarytomalaria AT jeremyspiteribailey typeiiacutemacularneuroretinopathysecondarytomalaria AT isaacbertuello typeiiacutemacularneuroretinopathysecondarytomalaria |