Opthalmoscopic Findings in Adult Patients with Severe Falciparum Malaria

Abstract

Aim: To report the systemic and ocular findings of four Indian adult patients with severe Plasmodium falciparum infection. Materials and Methods: Case reports. Results: The commonest findings seen were posterior pole hemorrhages that were seen in all patients. These included superficial and subretinal hemorrhages. Some of the eyes with subretinal hemorrhages were associated with a premacular hemorrhage. The findings of retinal whitening and vascular changes were seen in one patient. Conclusions: A spectrum of ocular lesions was noted, including pre-retinal, subretinal hemorrhages, retinal whitening, and retinal vascular anomalies.

Keywords:

• falciparum
• malaria
• ophthalmoscopy
• retinal hemorrhage