Clinical manifestations of ocular toxocariasis - abstract
West Indian med. j
; West Indian med. j;39(Suppl. 1): 62-3, Apr. 1990.
Article
em En
| MedCarib
| ID: med-5247
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
Fifteen symptomatic patients were seen at the Eye Clinic, General Hospital, Port-of-Spain from December, 1988 to October, 1989 and 12 cases were available for review. A complete eye examination was done, and serum IgG and IgM (to Toxocara) levels were measured by an ELISA method. There were 5 females and 7 males with ages ranging from 4 to 61 years. Toxocara titres ranged from 100 to 13, 200 with the most frequent value being 1200. The commonest presenting complaint was a moderate to severe visual impairment (8/11 or 73 per cent). Two patients had sudden onset of visual loss due to lesions at the posterior poles with macular involvement. Other presenting features were pain and redness of the eye associated with anterior uveitis (2 patients) and 4-year old patient had a white reflex in the pupil (leucocoria) for which an important differential diagnosis is retinoblastoma. Overall, Toxocara granulomas were seen on 9 of 12 patients. Therapy consisted essentially of steroids, topical and systemic and a non-steroidal anti-inflammatory preparation (indomethacin). All patients available for follow-up (n = 11) showed significant improvement and none required surgery. These results emphasize that ocular Toxocariasis must be considered in cases of posterior uveitis in Trinidad (AU)
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Uveíte
/
Toxocaríase
Limite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
Caribe ingles
/
Trinidad y tobago
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
1990
Tipo de documento:
Article
/
Congress and conference