Subretinal gnathostomiasis: A successful focal laser photocoagulation for a living parasite.

Focal laser photocoagulation Intraocular gnathostomiasis Intraocular parasite Subretinal gnathostomiasis Subretinal parasite

Journal

American journal of ophthalmology case reports
ISSN: 2451-9936
Titre abrégé: Am J Ophthalmol Case Rep
Pays: United States
ID NLM: 101679941

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 30 04 2021
revised: 31 01 2022
accepted: 07 02 2022
entrez: 4 3 2022
pubmed: 5 3 2022
medline: 5 3 2022
Statut: epublish

Résumé

To report a case of subretinal gnathostomiasis presenting with progressive subretinal tracts of a living parasite and successfully treated with focal laser photocoagulation. Observational case report. A 29-year-old Thai male complained of blurred vision and floaters in his left eye for two weeks. An ocular examination showed multiple, whitish, subretinal tracks at the superotemporal retina. After 5 days of oral albendazole, a moving parasite was confirmed by multimodal retinal imaging. An immunoblotting analysis was positive for The patient was treated by laser photocoagulation with frequency-doubled Nd:YAG laser around and over the parasite. Oral albendozole was continued and naproxen was prescribed for four weeks. His vision improved to 20/20 and the inflammation subsided completely within three months. The patient has been followed for five years without local and systemic complications. Focal laser photocoagulation without systemic steroids could be a successful treatment for active subretinal gnathostomiasis with a satisfactory safety profile in a long-term follow-up.

Identifiants

pubmed: 35243155
doi: 10.1016/j.ajoc.2022.101413
pii: S2451-9936(22)00159-1
pmc: PMC8861398
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101413

Informations de copyright

© 2022 The Authors.

Déclaration de conflit d'intérêts

None of the authors have any financial/conflicting interests to disclose.

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Auteurs

Supalert Prakhunhungsit (S)

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Somanus Thoongsuwan (S)

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Sutasinee Boonsopon (S)

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Thitiyaporn Panawattanawong (T)

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Pitchaya Amornvararak (P)

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Nuttawut Rodanant (N)

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Nopasak Phasukkijwatana (N)

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Classifications MeSH