Abstract

A 40 year male patient presented to OPD with chief complaint of diminution of vision in both the eyes for last ten days. He had a history of fever ten days back.
He presented with an UCVA RE 4/60 & LE 6/18p.
The Anterior Segment was unremarkable for both the eyes. On fundus examination OU: Cotton wool spots, Roth spots, areas of retinal necrosis threatening macula with hemorrhages were noted.
A provisional diagnosis of Post-Fever Retinitis was made and investigations were advised.
Malaria Parasite Immunochromatographic Test was positive for Plasmodium vivax band. The diagnosis was revised to Malaria Retinopathy & was advised tab Prednisolone 60 mg with weekly tapering.
Two weeks later, the patient presented with improvement in visual acuity & fundus picture. UCVA was 6/24p in RE not improving with pin hole & 6/18 in the LE improving with pin hole to 6/12.

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