The Thai Journal of Ophthalmology
The Opthalmological Society of Thailand

Official Publication of the Royal College of Ophthalmologist and Ophthalmological Society of Thailand

Treatment of Subretinal Angiostrongylus Cantonensis with Krypton Laser

Anan Sirimongkokasem, M.D.
Rungroj Lerdvitayasakul, M.D.
Somchai Samaiporn, M.D.
Tiam Lawtiantong, M.D.
Department of Ophthalmology, Ramathibodi Hospital, Mahidol university, 10400 

  Abstract

An actively mobile Angiostrongylus cantonensis was found at the inferonasal subretinal space of a Thai woman, who complained of severe headache and blurred vision. Headache was relieved by intermittent lumbar puncture and the cerebrospinal fluid study fluid study was proved to be eosinophilic meningitis. The subretinal parasite was coagulated with Krypton red laser without removing from the eye. The dead parasite was gradually reasorbed by phagocytic activity with traces of minimal chorioretinal scar. The vision improved from 20/200 to 20/25 during the five-month follow up period. 

Thai J Ohpthalmol 1989 June; 3(1): 27-30