eMedicine Specialties > Ophthalmology > Retina

Neuroretinitis, Diffuse Unilateral Subacute: Follow-up

Author: Lakshmana M Kooragayala, MD, Vitreo-retinal Surgeon, Marietta Eye Clinic
Contributor Information and Disclosures

Updated: May 26, 2009

Follow-up

Further Outpatient Care

  • The patients should be observed closely until the organism is identified for focal laser photocoagulation.
  • Patients should receive follow-up evaluations every 1-2 weeks until the inflammation resolves.

Prognosis

  • DUSN is a condition in which prompt identification and destruction of the infecting nematode can result in the cessation of symptoms and the preservation of good visual acuity. If untreated, the disease progressively damages the retina and the optic nerve, leading to severe visual loss.

Patient Education

  • If the vision is reduced substantially in one eye, then emphasis should be made regarding monocular precautions and the use of protective safety glasses.

Miscellaneous

Medicolegal Pitfalls

  • In view of the extensive differential diagnoses and uncommon conditions that mimic DUSN, it is important to consult with a uveitis or retina specialist.
 
Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous coauthor, James P Ganley, MD, PharmD, DrPH,to the development and writing of this article.



More on Neuroretinitis, Diffuse Unilateral Subacute

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Differential Diagnoses & Workup: Neuroretinitis, Diffuse Unilateral Subacute
Treatment & Medication: Neuroretinitis, Diffuse Unilateral Subacute
Follow-up: Neuroretinitis, Diffuse Unilateral Subacute
References
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References

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Further Reading

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Keywords

diffuse unilateral subacute neuroretinitis, DUSN, diffuse bilateral subacute neuroretinitis, unilateral wipeout syndrome

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Contributor Information and Disclosures

Author

Lakshmana M Kooragayala, MD, Vitreo-retinal Surgeon, Marietta Eye Clinic
Lakshmana M Kooragayala, MD is a member of the following medical societies: American Academy of Ophthalmology, American Society of Retina Specialists, and Medical Association of Georgia
Disclosure: Nothing to disclose.

Medical Editor

Andrew A Dahl, MD, Director of Ophthalmology Teaching, Mid-Hudson Family Practice Institute, The Institute for Family Health; Assistant Professor of Surgery (Ophthalmology), New York College of Medicine
Andrew A Dahl, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Ophthalmology, American College of Surgeons, American Medical Association, American Society of Cataract and Refractive Surgery, and Wilderness Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

R Christopher Walton, MD, Professor, Director of Uveitis and Ocular Inflammatory Disease Service, Department of Ophthalmology, Assistant Dean for Graduate Medical Education, University of Tennessee College of Medicine; Consulting Staff, Regional Medical Center, Memphis Veterans Affairs Medical Center, St Jude Children's Research Hospital
R Christopher Walton, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Healthcare Executives, American Uveitis Society, Association for Research in Vision and Ophthalmology, and Retina Society
Disclosure: Nothing to disclose.

CME Editor

Lance L Brown, OD, MD, Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri
Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD, Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences
Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology
Disclosure: Nothing to disclose.

 
 
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