Diffuse unilateral subacute neuroretinitis in children: Report of three cases

Abstract

Rationale: Diffuse unilateral subacute neuroretinitis is a form of posterior uveitis and has a few clinical presentations according to the onset of presentation. Patients’ concern: A girl (5-year-old) and 2 boys (both 12-year-old) were included in this report. Upon presentation, the visual acuity ranges from 6/12 to 6/60. All three cases had different symptoms (case 1: floaters; case 2: eye redness and pain; case 3: central scotoma). All of them had variable posterior uveitis features (case 1: vitritis and focal retinitis; case 2: subretinal larva track; case 3: choroiditis). Diagnosis: Diffuse unilateral subacute neuroretinitis. Intervention: All 3 patients were treated with oral albendazole. Outcome: All patients showed remarkable resolution of inflammatory reactions of the eye and also improvement of vision. Lesson: High index of suspicion should be made for children and young adults who are previously healthy but presented with suddenly onset of reduced vision with clinical features of posterior uveitis of variable degree. Clinical features together with a full blood picture can help to diagnose the problem when other parameters are negative.

Keywords

• diffuse unilateral subacute neuroretinitis; worms’ infestations; nematodes