Ophthalmoscopic findings in adult patients with severe falciparum malaria

To report the systemic and ocular findings of four Indian adult patients with severe Plasmodium falciparum infection.

Case reports.

The commonest findings seen were posterior pole hemorrhages that were seen in all patients. These included superficial and subretinal hemorrhages. Some of the eyes with subretinal hemorrhages were associated with a premacular hemorrhage. The findings of retinal whitening and vascular changes were seen in one patient.

A spectrum of ocular lesions was noted, including pre-retinal, subretinal hemorrhages, retinal whitening, and retinal vascular anomalies.