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40-year-old patient suffers vision loss from malaria

A woman presented at hospital with a painless loss of vision in her left eye over the course of a month following an initial illness with fever

28 Jul 2019 by Selina Powell

BMJ Case Reports authors have described the case of a 40-year-old patient who presented at hospital with vision loss following an infection with malaria.

The woman told clinicians at the LV Prasad Eye Institute in India that she had lost vision in her left eye over the course of a month following an illness with fever and rigours.

After tests revealed that the patient had malaria, she was treated with anti-malarial medication.

The loss of vision persisted following treatment, with her best corrected visual acuity 6/6 in the right eye and 6/120 in the left eye.

The authors highlighted that cerebral malaria can be associated with malaria retinopathy.

“Features of malaria retinopathy include retinal haemorrhages, papilledema, retinal whitening, hard exudates, vessel discolouration and vitreous haemorrhage,” they wrote.

Image credit: Pixabay

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