Frazier Marcela, Anderson Michelle L, Sophocleous Sophocles
University of Alabama-Birmingham School of Optometry, Birmingham, Alabama, USA.
Optometry. 2009 Apr;80(4):175-80. doi: 10.1016/j.optm.2008.07.019.
Toxocara canis is a parasite that can infect the eye and create a significant inflammatory response that can be detrimental to the patient's vision. Its clinical presentation can mimic other causes of uveitis, and its diagnosis and treatment can be challenging. Prompt and accurate diagnosis of ocular toxocariasis is essential to prevent permanent visual loss.
A 7-year-old Hispanic boy presented to the clinic with complaints of reduced visual acuity in the left eye. After a careful evaluation of his ocular health, he had ocular toxocariasis diagnosed and confirmed by enzyme-linked immunosorbent assay testing. Treatment with the anthelmintic, albendazole, and oral steroids was initiated. There was initial improvement of the vitritis with significant vitreous debris. However, 2 years later, reactivation occurred, and a vitrectomy was required. This case report reviews the management of a patient with active ocular toxocariasis, including clinical findings and treatment options.
The differential diagnosis of ocular toxocariasis and review of the available treatments are presented.
犬弓首线虫是一种可感染眼睛并引发严重炎症反应的寄生虫，这种反应可能损害患者视力。其临床表现可能与葡萄膜炎的其他病因相似，其诊断和治疗具有挑战性。及时、准确地诊断眼弓蛔虫病对于预防永久性视力丧失至关重要。
一名7岁西班牙裔男孩因左眼视力下降到诊所就诊。在对其眼部健康进行仔细评估后，他被诊断为眼弓蛔虫病，并通过酶联免疫吸附试验检测得以确诊。开始使用驱虫药阿苯达唑和口服类固醇进行治疗。最初玻璃体炎有所改善，玻璃体中有大量碎屑。然而，2年后病情复发，需要进行玻璃体切除术。本病例报告回顾了一名活动性眼弓蛔虫病患者的治疗情况，包括临床发现和治疗选择。
介绍了眼弓蛔虫病的鉴别诊断及现有治疗方法。
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