Publication: A review of the spectrum of clinical ocular fundus findings in P. falciparum malaria in African children with a proposed classification and grading system
Issued Date
1999-01-01
Resource Type
ISSN
00359203
Other identifier(s)
2-s2.0-0033385134
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Mahidol University
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SCOPUS
Bibliographic Citation
Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.93, No.6 (1999), 619-622
Suggested Citation
Susan Lewallen, Simon P. Harding, Jeff Ajewole, W. Edmund Schulenburg, Malcolm E. Molyneux, Kevin Marsh, Stanley Usen, Nicholas J. White, Terrie E. Taylor A review of the spectrum of clinical ocular fundus findings in P. falciparum malaria in African children with a proposed classification and grading system. Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.93, No.6 (1999), 619-622. doi:10.1016/S0035-9203(99)90071-8 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/25481
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Title
A review of the spectrum of clinical ocular fundus findings in P. falciparum malaria in African children with a proposed classification and grading system
Other Contributor(s)
The University of British Columbia
Royal Liverpool and Broadgreen University Hospitals NHS Trust
National Eye Care Project
Western Eye Hospital
University of Malawi College of Medicine
University of Liverpool
Kenya Medical Research Institute
Medical Research Council Laboratories Gambia
Mahidol University
Michigan State University
Royal Liverpool and Broadgreen University Hospitals NHS Trust
National Eye Care Project
Western Eye Hospital
University of Malawi College of Medicine
University of Liverpool
Kenya Medical Research Institute
Medical Research Council Laboratories Gambia
Mahidol University
Michigan State University
Abstract
Ocular fundus pathology in Plasmodium falciparum malaria is common and has prognostic significance. We have made a collaborative effort to document the ocular features in several populations. Based on examination of 735 patients in Malawi, Kenya and The Gambia by direct and indirect ophthalmoscopy with dilated pupils, we have determined that the 5 distinct clinical features (in order of frequency) include retinal whitening, haemorrhages, unique vessel abnormalities, papilloedema, and cotton wool spots. Photographs and descriptions of these are presented, along with a proposed grading scheme.