[Three cases of benign flecked retina syndrome]

To present 3 rare cases of benign flecked retina syndrome. A 19-year-old female patient presented with fundus albipunctatus appearance in fundoscopy without night blindness and normal dark adaptation time on electeroretinography [ERG]. After 9years of follow up, no change in visual acuity, ERG, or other ophthalmologic examination was seen. Two members of her family had the same condition. Benign flecked retina syndrome presents with fundus abnormalities similar to fundus albipunctatus but without night blindness and normal dark adaptation time and any without any changes in vision or ERG

Prognostie value of fundoscopy in malaria

Objective To detect fundoscopic abnormalities in immunocompetent adults with malaria and to assess their prognostic value. Methods A prospective study involved 543 patients with malaria seen during the period Decembre 2000 to July 2001 at the Jordanian Military hospital in Freetown, Sierra Leone. Patients were divided into three groups: uncomplicated, severe and cerebral malaria. Diagnosis of malaria was based on peripheral blood smears. All patients were HIV negative. One the day of andmission, fundoscopic examination was performed on all patients through dilated pupils. Results Ninety Seven[17.9%] of all patients were found to have abnormal fundoscopy. Retinal hemorrhage was the most common finding: 8.5% of all patients, 47.4% in respect with abnormal findings. Optic disc pallor was a minority and closely related to cerebral malaria. A significant ratio [57.1%] of uncomplicted malaria cases with abnormal fundoscopy progressed to severe or cerebral malaria within 24 hours. Conclusion Abnormal fundoscopic findings in malaria patients can be early predictor of severe infection