Clinical features, the effectiveness of treatment and function of vision organ in children and adolescents with ocular toxocariasis
Urban, B.; Bakunowicz-Łazarczyk, A.; Michał, Sński.
Klinika Oczna 110(10-12): 364-366
2008
ISSN/ISBN: 0023-2157 PMID: 19195167 Document Number: 620582
Toxocariasis is caused by Toxocara canis, the intestinal nematode commonly found in dogs. Patients are mostly young children, with an average age of 7.5 years. Patients have unilateral progressive painless vision loss and occasional leukocoria. Ocular toxocariasis has a variable presentation, from localized peripheral or macular granulomas to chronic endophthalmitis. Clinical features, the effectiveness of treatment and function of vision organ in 19 children and adolescents with ocular toxocariasis were analyzed retrospectively. The mean patient age was 10.3 years. Inflammation was unilateral in all patients. In 11 cases (57.9%) there was peripheral granuloma, in 3 cases (15.8%) posterior pole granuloma and endophthalmitis in 5 cases (26.3%). Zentel was applied in 14 patients, Hetrazan in 3 patients and Mintezol in 2 patients. Improvement of visual acuity was achieved in 11 eyes (57.9%), no improvement in 7 eyes (36.8%), deterioration in 1 eye (5.3%). Ocular toxocariasis is the disease with differentiated clinical presentation. Toxocara uveitis can cause significant vision loss. In some cases quick diagnosis and effective treatment with corticosteroids and antihelminthics allowed to obtain clinical improvement.