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TO DETERMINE THE FREQUENCY OF OCCULAR LESIONS RELATED WITH MALARIA IN CHILDREN

Dr Waheed Ahmed Shaikh, Dr Sajida Parveen, Dr. Faheemullah shaikh

Objective: The aim of this study was to investigate the incidence and prognostic value of ocular complications in malaria. Place and Duration: In the Ophthalmology Unit II of Civil Hospital, Karachi for One-year duration from June, 2015 to June, 2016. Methods: A total of 140 children (105 of whom had cerebral malaria, 35 not having neurological issues) and 34 with mild malaria and 82 children without malaria were compared. Results: Eye complications were infrequent in the group of malaria (5.8%). In 11.8% of children, retinal hemorrhage noted in the non-cerebral malaria group. Cerebral malaria was related with retinal edema (10.5%) and retinal bleeding (22.9%). Conclusion: There was no correlation between ocular findings such as retinal edema, retinal bleeding. The presence of cotton spots, papilledema and exudates were related with high mortality risk. Seizures and coma score were strongly related with mortality, but not with ocular findings. The retinal symptoms present in a child in an area endemic to malaria may indicate a serious malaria case. Key Words: Malaria, ocular complications, endemic area, retinal haemorrhages.

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