Diffuse Bilateral Subacute Neuroretinitis
First Patient With Documented Nematodes in Both Eyes
Eduardo Cunha de Souza, MD;
Suel Abujamra, MD;
Yoshitaka Nakashima, MD;
J. Donald M. Gass, MD
Arch Ophthalmol. 1999;117:1349-1351.
Objective To describe the first patient with documented evidence of diffuse unilateral subacute neuroretinitis (DUSN) in both eyes.
Methods A 10-year-old healthy Brazilian girl was first seen with signs of late-stage DUSN in both eyes. A careful search for a nematode was performed in each eye.
Results A motile 550- to 660-µm nematode was found in the inferotemporal retina of the left eye. A similar-sized motile nematode was found in the superotemporal retina of the right eye. Both nematodes were treated with argon green laser applications with bilateral improvement of visual function.
Conclusion Although most patients with DUSN do not develop the disease in the fellow eye, this case demonstrates that DUSN can occasionally affect both eyes.
From the Clínica Oftalmológica da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil (Drs Cunha de Souza, Abujamra, and Nakashima); and Department of Ophthalmology, Vanderbilt University School of Medicine, Nashville, Tenn (Dr Gass). The authors have no proprietary interest in any aspect of this article.
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