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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 11  |  Page : 1884

Ultra-widefield image of a toxocara granuloma with an adjacent retinal break and retinal detachment


Department of Vitreoretina Services, Disha Eye Hospitals, Kolkata, West Bengal, India

Date of Web Publication22-Oct-2019

Correspondence Address:
Dr. Debdulal Chakraborty
Department of Vitreoretina Services, Disha Eye Hospitals, Ghosh Para Road, Barrackpore, Kolkata - 700 120, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1294_19

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How to cite this article:
Chakraborty D, Boral S, Mukherjee A, Majumdar S. Ultra-widefield image of a toxocara granuloma with an adjacent retinal break and retinal detachment. Indian J Ophthalmol 2019;67:1884

How to cite this URL:
Chakraborty D, Boral S, Mukherjee A, Majumdar S. Ultra-widefield image of a toxocara granuloma with an adjacent retinal break and retinal detachment. Indian J Ophthalmol [serial online] 2019 [cited 2019 Nov 15];67:1884. Available from: http://www.ijo.in/text.asp?2019/67/11/1884/269606



A 17-year-old child presented with 2 month history of decreased vision in right eye. Visual acuity was hand movement, pupillary reaction sluggish, anterior chamber quiet, lens clear, and vitreous cavity quiet. A total retinal detachment with temporal peripheral granuloma and retinal fold was suggestive of Toxocara with a large retinal break adjoining the retinal fold.[1],[2] Inferior retina had a subretinal band ([Figure 1]: Optos Image).[3],[4] Human infection of Toxocara is due to accidental ingestion of infective eggs of Toxocara cati or canis from contaminated food or geophagia. Children up to 10 years are more prone to be infected due to geophagia.[1],[2],[4]
Figure 1: Ultra-widefield Optos image of right eye of patient showing a total retinal detachment with a peripheral toxocara granuloma, retinal fold, and an adjoining retinal break. Inferior retinal periphery shows a subretinal retinal fold

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Acknowledgements

We would like to thank: Mr Sudip Ghosh, Ophthalmic photographer and Mr Deb Kumar Paul, Ophthalmic photographer: Disha Eye Hospitals Kolkata, West Bengal, India.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Nussenblatt RB. Toxocara canis. In: Nussenblatt RB, Whitcup S, Editors. Uveitis: Fundamentals and Clinical Practice. Philadelphia: Mosby; 2004. p. 244-9.  Back to cited text no. 1
    
2.
Stewart JM, Cubillan LDP, Cunningham ET. Prevalence, clinical features, and causes of visual loss among patients with ocular toxocariasis. Retina 2005;25:1005-13.  Back to cited text no. 2
    
3.
Reznicek L, Stumpf C, Seidensticker F, Kampik A, Neubauer AS, Kernt M. Role of wide-field autofluorescence imaging and scanning laser ophthalmoscopy in differentiation of choroidal pigmented lesions. Int J Ophthalmol 2014;7:697-703.  Back to cited text no. 3
    
4.
Campbell JP, Leder HA, Sepah YJ, Gan T, Dunn JP, Hatef E, et al. Wide-field retinal imaging in the management of noninfectious posterior uveitis. Am J Ophthalmol 2012;154:908-11.  Back to cited text no. 4
    


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