{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:40:10Z","timestamp":1745757610808,"version":"3.40.4"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,8]]},"abstract":"<jats:p>A 24-year-old woman presented with a history of high-grade fever with rigours since 3\u2005days and bilateral sudden loss of vision since 6\u2005h. She was conscious, oriented and her vitals were stable. She had a temperature of 101\u00b0F, anaemia, thrombocytopaenia, normal white cell count and moderate splenomegaly. On testing visual activity, she could only perceive hand movements although her pupils were bilaterally equal, and normal in size and reaction. On indirect ophthalmoscopy, optic discs were normal bilaterally; however, fovea of both eyes was masked by subhyaloid haemorrhage. Peripheral smear showed gametocytes of<jats:italic>Plasmodium falciparum.<\/jats:italic>The patient was started on arteminsinin-combined therapy and advised to be in propped-up position to help resolution of the haemorrhage. The patient was afebrile in 4\u2005days and follow-up fundus examination showed gradual resolution of the haemorrhage. After two months, the patient regained normal visual acuity in both eyes; however, it took nearly 3\u2005months for complete resolution of the haemorrhage.<\/jats:p>","DOI":"10.1136\/bcr-2013-202811","type":"journal-article","created":{"date-parts":[[2014,5,26]],"date-time":"2014-05-26T23:07:47Z","timestamp":1401145667000},"page":"bcr2013202811","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral subhyaloid haemorrhage in a conscious patient: a new spectrum of ocular involvement by<i>Plasmodium falciparum<\/i>"],"prefix":"10.1136","volume":"2014","author":[{"given":"Nasar","family":"Abdali","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azharuddin Mohammed","family":"Malik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md Dilawez","family":"Shamim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Wajahat Ali","family":"Rizvi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,26]]},"reference":[{"key":"2025042705263157000_2014.may26_2.bcr2013202811.1","first-page":"51","article-title":"Severe subconjunctival haemorrhage associated with malaria","volume":"271","author":"Kaimbo Wa Kaimbo","year":"1999","journal-title":"Bull Soc Belge Ophtalmol"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(99)90071-8"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.3","doi-asserted-by":"crossref","first-page":"790","DOI":"10.4269\/ajtmh.2006.75.790","article-title":"Malarial retinopathy: a newly established diagnostic sign in severe malaria","volume":"75","author":"Beare","year":"2006","journal-title":"Am J Trop Med Hyg"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.4","first-page":"15","article-title":"Falciparum malaria induced retrobulbar neuritis","volume":"50","author":"Kale","year":"2004","journal-title":"J Postgrad Med"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.5","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/91.12.845"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.6","doi-asserted-by":"publisher","DOI":"10.1080\/09273940802409977"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.7","doi-asserted-by":"crossref","first-page":"911","DOI":"10.4269\/ajtmh.1983.32.911","article-title":"Retinal hemorrhage, a common sign of prognostic significance in cerebral malaria","volume":"32","author":"Looareesuwan","year":"1983","journal-title":"Am J Trop Med Hyg"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.8","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(92)90420-H"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.9","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4269\/ajtmh.1993.48.216","article-title":"Mortality and sequelae due to cerebral malaria in African children in Brazzaville, Congo","volume":"48","author":"Carme","year":"1993","journal-title":"Am J Trop Med Hyg"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.10","first-page":"231","article-title":"The pattern of neurological sequelae of childhood cerebral malaria among survivors in Calabar, Nigeria","volume":"43","author":"Meremikwu","year":"1997","journal-title":"Cent Afr J Med"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.11","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)92498-7"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.12","first-page":"261","article-title":"Subhyaloid hemorrhage in cerebral malaria","volume":"47","author":"Nema","year":"2010","journal-title":"J Vector Borne Dis"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.13","first-page":"19","article-title":"Quinine idiosyncracy leading to bilateral subhyaloid haemorrhage","volume":"25","author":"Jain","year":"1977","journal-title":"Indian J Ophthalmol"},{"key":"2025042705263157000_2014.may26_2.bcr2013202811.14","unstructured":"White NJ Breman JG . 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