A 20-year-old male patient complained of reduced vision after being admitted to a hospital in Bangladesh with 5 days of fever associated with convulsions and anemia (hematocrit 11%). Uncorrected visual acuity was 20/80 OD and 20/64 OS. Bedside dilated ophthalmic examination, registered using a portable fundus imaging device (Kowa Genesis-D), revealed white-centred hemorrhages in 4 quadrants, diffuse disc pallor, and preretinal macular hemorrhages in both eyes. The patient was diagnosed with malarial retinopathy, an ocular manifestation of Plasmodium falciparum infection. He had no encephalopathy confirmed during hospitalization and was treated with intravenous artesunate followed by artemether-lumefantrine.
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Published online: August 20, 2020
Accepted: June 3, 2020
Received: June 1, 2020
© 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.