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 |
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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 |