A Case Report of Intravitreal Dexamethasone Implant with Exudative Retinal Detachment for Ocular Toxocariasis Treatment
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초록
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.
Abstract
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.
참고문헌 (17)
- Jia Chen, "Toxocariasis: a silent threat with a progressive public health impact", Infectious Diseases of Poverty, 7(1), pp.59~ (2018), Springer Science and Business Media LLC[DOI]
- H. Auer, "Toxocariasis and the clinical spectrum", Advances in Parasitology, pp.111~130 (2020), Elsevier[DOI]
- Taylor MR, "The epidemiology of ocular toxocariasis", J Helminthol, 75, pp.109~118 (2001)
- Dana Woodhall, "Ocular Toxocariasis: Epidemiologic, Anatomic, and Therapeutic Variations Based on a Survey of Ophthalmic Subspecialists", Ophthalmology, 119(6), pp.1211~1217 (2012), Elsevier BV[DOI]
- Matteo Scaramuzzi, "REPEATED INTRAVITREAL DEXAMETHASONE IMPLANT (OZURDEX) FOR DIABETIC MACULAR EDEMA", Retina, 35(6), pp.1216~1222 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Janelle M. Fassbender Adeniran, "Common and Rare Ocular Side-effects of the Dexamethasone Implant", Ocular Immunology and Inflammation, 25(6), pp.834~840 (2016), Informa UK Limited[DOI]
- Avner Hostovsky, "Intraoperative Dexamethasone Intravitreal Implant (Ozurdex) in Vitrectomy Surgery for Epiretinal Membrane", Current Eye Research, 45(6), pp.737~741 (2019), Informa UK Limited[DOI]
- JAY M. STEWART, "PREVALENCE, CLINICAL FEATURES, AND CAUSES OF VISION LOSS AMONG PATIENTS WITH OCULAR TOXOCARIASIS", Retina, 25(8), pp.1005~1013 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Ling Kong, "Current epidemic situation of human toxocariasis in China", Advances in Parasitology, pp.433~448 (2020), Elsevier[DOI]
- Seong Joon Ahn, "Ocular toxocariasis: clinical features, diagnosis, treatment, and prevention", Asia Pacific Allergy, 4(3), pp.134~141 (2014), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Donghyun Jee, "Clinical Features of Ocular Toxocariasis in Adult Korean Patients", Ocular Immunology and Inflammation, pp.1~10 (2015), Informa UK Limited[DOI]
- Kang Yeun Pak, "Ocular toxocariasis presenting as bilateral scleritis with suspect retinal granuloma in the nerve fiber layer: a case report", BMC Infectious Diseases, 16(1), pp.426~ (2016), Springer Science and Business Media LLC[DOI]
- Do Yeh Yoon, "Intravitreal Administration of Ranibizumab and Bevacizumab for Choroidal Neovascularization Secondary to Ocular Toxocariasis: A Case Report", Ocular Immunology and Inflammation, pp.1~3 (2016), Informa UK Limited[DOI]
- D A M Lyall, "Intravitreal Ranibizumab in the treatment of choroidal neovascularisation secondary to ocular toxocariasis in a 13-year-old boy", Eye, 24(11), pp.1730~1731 (2010), Springer Science and Business Media LLC[DOI]
- Ljubo Znaor, "Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments", Cochrane Database of Systematic Reviews, 2019(3), pp.CD009562~ (2019), Wiley[DOI]
- Seong Joon Ahn, "Clinical Features and Course of Ocular Toxocariasis in Adults", PLoS Neglected Tropical Diseases, 8(6), pp.e2938~ (2014), Public Library of Science (PLoS)[DOI]
- Ako Takakura, "Viral Retinitis following Intraocular or Periocular Corticosteroid Administration: A Case Series and Comprehensive Review of the Literature", Ocular Immunology and Inflammation, 22(3), pp.175~182 (2014), Informa UK Limited[DOI]