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

• Published in: Korean journal of parasitology Vol. 60; no. 2; pp. 133 - 137
• Main Authors: Cai, Youran, Yang, Ye, Zhong, Xin
• Format: Journal Article
• Language: English
• Published: Korea (South) 대한기생충학열대의학회 01.04.2022; The Korean Society for Parasitology and Tropical Medicine
• Subjects: Adolescent; Albendazole - therapeutic use; Animals; Case Report; Dexamethasone; Humans; Larva Migrans; Male; Retinal Detachment - complications; Retinal Detachment - diagnosis; Retinal Detachment - drug therapy; Toxocariasis - complications; Visual Acuity; dexamethasone; treatment; Ocular toxocariasis; albendazole; retinal detachment
• ISSN: 0023-4001; 1738-0006; 1738-0006
• DOI: 10.3347/kjp.2022.60.2.133

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.