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Keimyung Medical Journal 2010;29(1):54-57.
Diffuse Unilateral Subacute Neuroretinitis with Typical Serpiginous Retinal Pigment Epithelial Atrophy
Diffuse Unilateral Subacute Neuroretinitis with Typical Serpiginous Retinal Pigment Epithelial Atrophy
Ji Hye Jang; Jong Hwa Jun; Yu Cheol Kim; Kwang Soo Kim
Abstract
We report a case of diffuse unilateral subacute neuroretinitis (DUSN) with atrophy of the serpiginous retinal pigment epithelium (RPE) which has not yet been reported in the Korean medical literature. A 41-year-old man complained a progressive visual loss and ocular pain in the left eye. The patient has a history of exposure to live doe’s bloods. On the slit lamp microscopy; a mild severity of inflammatory cells was observed in the vitreous cavity. Ophthalmoscopy showed the cluster of gray-white RPE atrophy; many tortuous serpiginous tract with sparing of the macular region in the left eye. Although the location of the nematode could not be identified; the appearance of serpiginous tract atrophy on subRPE and a history of exposure to live animal supported the diagnosis of DUSN.
Key Words: Diffuse unilateral subacute neruoretinitis, subretinal nematode, typical serpiginous retinal pigment epithelial atrophy
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