- Author:
Ellen N. Yu-Keh
1
;
Felipe I. Tolentino
1
;
Amadeo A.S. Veloso Jr
1
Author Information
- Publication Type:Case Reports
- Keywords: Pigment epithelial detachment
- MeSH: Blastocystis hominis
- From: Philippine Journal of Ophthalmology 2010;35(1):40-42
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To describe a case of inflammatory pigment epithelial detachment (PED)
presumed to be secondary to the amoeba Blastocystis hominis.
Methods:This is an interventional case report.
Results:A 46-year-old male complained of visual distortion in the left eye for 7 months. Examination revealed the presence of a subretinal cystic lesion on the fovea. Optical coherence tomography demonstrated a PED with a hyperreflective lesion over the detached retinal pigment epithelium (RPE). Work-up included a fecalysis, which revealed the presence of Blastocystis hominis. The patient was treated with oral metronidazole. RPE detachment resolved after treatment with no recurrence in 30 months of follow-up.
Conclusion:Intestinal parasitic infection may be associated with retinal disease and should be included in the differential diagnosis of PED when OCT reveals a hyperreflective lesion. - Full text:PJO 110.pdf