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http://dx.doi.org/10.3347/kjp.2022.60.2.133

A Case Report of Intravitreal Dexamethasone Implant with Exudative Retinal Detachment for Ocular Toxocariasis Treatment  

Cai, Youran (Department of Ophthalmology, The First Affiliated Hospital of Guangxi Medical University)
Yang, Ye (Department of Ophthalmology, The First Affiliated Hospital of Guangxi Medical University)
Zhong, Xin (Department of Ophthalmology, The First Affiliated Hospital of Guangxi Medical University)
Publication Information
Parasites, Hosts and Diseases / v.60, no.2, 2022 , pp. 133-137 More about this Journal
Abstract
Toxocariasis is one of the most common geohelminth infections in several parts of the world. We describe a rare case of ocular toxocariasis with secondary exudative retinal detachment treated with albendazole and an intravitreal dexamethasone implant. A 13-year-old boy with counting finger vision was diagnosed with retinal vasculitis and exudative retinal detachment in his right eye. Fundoscopic examination revealed retinal hemorrhage, retinal vasculitis, and exudative retinal detachment. Serological test using serum and intraocular aqueous humor were positive for anti-Toxocara specific IgG antibodies. He received repeated doses of intravitreal dexamethasone implants combined with oral albendazole. A sequential follow-up optical coherence tomography revealed that the retina was successfully reattached. His visual acuity subsequently improved to 20/400.
Keywords
Ocular toxocariasis; retinal detachment; treatment; dexamethasone; albendazole;
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