Abstract

A seven year old girl presented with history of diminished vision in her left eye. The detailed examination of the right eye was unremarkable. The anterior segment of the involved eye was unremarkable with the supero-temporal retina showing outer retinal yellow-white lesions associated with pigmentary changes. The child had itchy scaly lesions over the right sole. A diagnosis of diffuse unilateral subacute neuro-retinitis with cutaneous larva migrans was made. The retinal lesions were subjected to laser photo coagulation and systemic single dose of ivermectin was administered. There was no recurrence of the retinal lesions and the foot lesions healed. The present case highlights the importance of examination of the extremities and the role of single dose of ivermectin in the management of DUSN with cutaneous larva migrans.

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