PARASITE IN A YOUNG GIRL FROM VIETNAM PRESENTING AS A GOLDEN FOVEAL LESION: Submacular Fly Larva or Nematode?
OBJECTIVE
To report a case of likely subretinal foveal parasite, either ophthalmomyiasis from botfly infestation, Angiostrongylus or Gnathostoma.


METHODS
Observational case report of a patient with decreased vision in the left eye since age 4, with examination showing a golden subretinal foveal lesion. She was monitored up to age 24.


RESULTS
A young woman originally from Vietnam presented at age 11 with vision loss in the left eye since age 4 after a severe febrile illness. Fundus examination revealed a subretinal golden foveal lesion. History, angiography, and spectral domain optical coherence tomography revealed the possibility of parasitic infestation with an entrance site.


CONCLUSIONS
In patients with focal lesions of unknown etiology, careful history, exam, angiography and OCT may indicate a parasitic organism and the entrance site.
Department of Ophthalmology, University of California, San Diego, California.
Azadeh
A
Khatibi
Payam
P
Amini
Michael H
MH
Goldbaum