Submacular Parasite Masquerading as Posterior Pole Granuloma

Figure 1

(a) Color fundus photograph showing yellow-white submacular granuloma. Also observed are satellite lesions, retinal hemorrhage, perivascular sheathing, and serosanguineous detachment of neurosensory retina extending beyond temporal vascular arcades. The arrowhead indicates the site of observed motile parasite. (b) Fluorescein angiography (early phase) demonstrates patchy blocked fluorescence by subretinal blood. (c) Late phase of fluorescein angiogram shows disc and retinal vascular leakage at and around posterior pole. (d) Color photograph documents resolution of the granuloma with resultant pigmented macular scar. The status remained stable till 4 years following treatment with albendazole and oral corticosteroids.

(a)

(b)

(c)

(d)