What is it about?

We studied 50 children with cerebral malaria, and found 48% to have malarial retinopathy. The presence of retinopathy was significantly associated with mortality.

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Why is it important?

Changes in the retina have been described in patients with cerebral malaria previously also, but we tested for it in Indian children with cerebral malaria, and tried to assess the association with the outcome. Presence of retinopathy may be used for prognostication, and also for triaging in resource -constrained settings.


Malaria is quite common in this Central Indian region. Care of the sick children with cerebral malaria is sometimes hindered by the lack of facilities for adequate care. The presence of retinopathy, which is easily detected by fundoscopy, can be used to identity with a higher chance of mortality thereby assisting in optimum utilisation of scarce resources.

Dr Devendra Mishra
Maulana Azad Medical College

Read the Original

This page is a summary of: Retinopathy as a prognostic marker in cerebral malaria, Indian Pediatrics, April 2016, Springer Science + Business Media,
DOI: 10.1007/s13312-016-0844-x.
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