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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
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]