Fundus hemorrhage in malaria tropica

Abstract

The case is presented of a 20-year-old tourist with mild falciparum malaria and bilateral preretinal and intraretinal hemorrhage, including a macular hemorrhage with reversible visual loss, which developed during his return flight from West Africa. The diagnosis was initiated by the university eye hospital originally consulted. Possible pathogenic mechanisms, ocular findings in malaria, and the increasing problems of imported malaria are summarized and reviewed.