[Measles retinitis in an immunocompetent child].
BACKGROUND
Measles retinitis is rare in immunocompetent patients and has recently been only sporadically described. This case report reveals the clinical picture, the course of the disease and the prognosis of this entity.


METHODS
One month after a diagnosed measles infection, a 12-year-old girl presented with a macular star and peripheral retinal oedema due to a diffuse vasculitis associated with visual impairment in both eyes. Perimetry, electroretinography, and fluorescein angiography revealed a necrotising process along the inflamed vessels.


RESULTS
Without therapy vision improved and the macular changes decreased. Some of the paracentral scotomata and a discrete visual acuity defect could still be detected during the follow-up examinations after 2 1/2 and 7 months.


CONCLUSIONS
The early diagnosis of measles retinitis by an ophthalmologist can be of great importance because an associated encephalitis could be treated medically if recognized early enough.
Neppert
B
B
Universitäts-Augenklinik Hamburg.
D002648:Child; D004596:Electroretinography; D005074:Evoked Potentials, Visual / Q000502:physiology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008266:Macula Lutea / Q000503:physiopathology; D008457:Measles / Q000175:diagnosis* / Q000503:physiopathology; D012171:Retinal Vessels / Q000503:physiopathology; D012173:Retinitis / Q000175:diagnosis* / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology; D014794:Visual Fields / Q000502:physiology
Masern-Retinitis bei einem immunkompetenten Kind.