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Clinical Course and Optical Coherence Tomography of Ocular Angiostrongyliasis: A Case Report.


ABSTRACT:

Purpose

To report the clinical course and optical coherence tomography (OCT) findings of ocular angiostrongyliasis.

Methods

A 36-year-old female with a history of ingesting regular raw freshwater shrimp and other raw food presented with acute unilateral painless visual loss in the right eye. Her right eye's best-corrected visual acuity (BCVA) was 1 ft of the count finger. Fundus examination showed vitritis, generalized retinal pigment epithelial alteration, and a moving roundworm in the vitreous at the 6 o'clock position. Macular OCT of her right eye showed thinning of the retina, loss of the external limiting membrane and ellipsoid zone, subretinal hyper-reflective material clumping, and hyper-reflective foci at the superficial choroidal layer.

Results

The patient was administered oral and topical prednisolone. The roundworm, identified as Angiostrongylus cantonensis, was wholly extracted from the vitreous using a 23G sclerotomy port and pars plana vitrectomy. The final BCVA was 1 ft of the count finger.

Conclusion

This case report describes an infrequent presentation and illustrates the clinical course and OCT findings of ocular angiostrongyliasis.

SUBMITTER: Luangsawang K 

PROVIDER: S-EPMC10481986 | biostudies-literature | 2023 Jan-Mar

REPOSITORIES: biostudies-literature

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Publications

Clinical Course and Optical Coherence Tomography of Ocular Angiostrongyliasis: A Case Report.

Luangsawang Kanin K   Wongsantimeth Veeraphatra V   Treeyawedkul Sirinan S  

Journal of current ophthalmology 20230101 1


<h4>Purpose</h4>To report the clinical course and optical coherence tomography (OCT) findings of ocular angiostrongyliasis.<h4>Methods</h4>A 36-year-old female with a history of ingesting regular raw freshwater shrimp and other raw food presented with acute unilateral painless visual loss in the right eye. Her right eye's best-corrected visual acuity (BCVA) was 1 ft of the count finger. Fundus examination showed vitritis, generalized retinal pigment epithelial alteration, and a moving roundworm  ...[more]

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