Caja Costarricense De Seguro Social, Servicio De Oftalmología, Hospital Nacional De Niños, San José, Costa Rica.
Caja Costarricense De Seguro Social, Clínica de Uveítis, Servicio De Oftalmología, Hospital Nacional De Niños, San José, Costa Rica.
Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1246-1251. doi: 10.1080/09273948.2020.1792513. Epub 2020 Aug 18.
To report the epidemiology, clinical characteristics, treatment and outcomes of patients with ocular toxocariasis.
Retrospective review of patients diagnosed with ocular toxocariasis at a pediatric referral center from 1998 until 2018 in Costa Rica.
157 patients were diagnosed with ocular toxocariasis with a mean follow-up of 3.1 years. The mean age at presentation was 6.7 years old. The most common causes of consultation included decreased vision (29.9%), strabismus (26.7%), and leukocoria (19.7%). The most common findings included peripheral granuloma, posterior pole granuloma, and chronic endophthalmitis. Sixty-nine (43.9%) eyes had retinal detachment. Patients were managed with a variety of treatments including pars plana vitrectomy, systemic corticosteroids, anti-helminthic drugs or a combination of these. Most eyes did not exhibit functional improvement despite treatment.
Most patients with pediatric ocular toxocariasis in Costa Rica often present late and despite treatment, most remain with poor vision in the affected eye.
报告眼弓蛔虫病患者的流行病学、临床特征、治疗和结局。
回顾性分析 1998 年至 2018 年哥斯达黎加一家儿科转诊中心诊断为眼弓蛔虫病的患者。
共诊断出 157 例眼弓蛔虫病患者，平均随访 3.1 年。就诊时的平均年龄为 6.7 岁。最常见的就诊原因包括视力下降（29.9%）、斜视（26.7%）和白瞳症（19.7%）。最常见的发现包括周边肉芽肿、后极部肉芽肿和慢性眼内炎。69 只（43.9%）眼出现视网膜脱离。患者接受了各种治疗，包括玻璃体切除术、全身皮质类固醇、抗寄生虫药物或这些药物的联合治疗。尽管进行了治疗，但大多数眼睛的功能仍未改善。
在哥斯达黎加，大多数儿科眼弓蛔虫病患者就诊较晚，尽管进行了治疗，但大多数患者的患眼视力仍较差。
