A review of malarial retinopathy in severe malaria

African Vision and Eye Health

 
 
Field Value
 
Title A review of malarial retinopathy in severe malaria
 
Creator Sithole, H. L.
 
Subject — Malaria; ocular changes in Malaria; malarial retinopathy; public health BOptom; MOptom
Description The ocular manifestations of severe malaria in patients with cerebral malaria (CM) include retinal whitening, vessel discolouration, retinal haemorrhages and papilloedema. A large prospective study of Malawian children with CM found that the severity of retinal signs, including the number of retinal haemorrhages, was related to the outcome and length of coma in survivors of malaria. In a smaller number of Kenyan children with cerebral malaria, retinal haemorrhages were associated with deep coma and severe anaemia. A study on the effect of malarial retinopathy on vision found no detectable effect on visual acuity (VA) but where malaria isaggravated by failure to receive treatment this may possibly affect VA. The failure to receive treatment may be directly linked to the socio-economic status (SES) of those affected and this may occur in the KwaZulu-Natal, Mpumalanga and Limpopo provinces of South Africa where malaria is endemic. This suggests the need for effective health education and health promotion amongst those affected by malaria especially in severely affected provinces of South Africa. Also, in view of the direct ocular consequences of severe malaria, optometrists should engage communities in health education and health promotion. This is particularly relevant because in some communities, a large majority of those suffering from malarial infections do not visit formal health facilities for treatment. In so doing, optometrists in South Africa will be contributing positively to the Millennium Development Goals which seek, amongst others, to reduce unwarranted sources of morbidity worldwide. (S Afr Optom 2011 70(3) 129-135) 
 
Publisher AOSIS
 
Contributor
Date 2011-12-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format application/pdf
Identifier 10.4102/aveh.v70i3.110
 
Source African Vision and Eye Health; South African Optometrist: Vol 70, No 3 (2011); 129-135 2410-1516 2413-3183
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://avehjournal.org/index.php/aveh/article/view/110/78
 
Coverage — — —
Rights Copyright (c) 2011 H. L. Sithole https://creativecommons.org/licenses/by/4.0
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