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International Ophthalmology

, Volume 27, Issue 4, pp 277–280 | Cite as

Pars plana vitrectomy revealed Toxocara canis organism

  • Nur Acar
  • Ziya Kapran
  • Canan Aslı Utine
  • Nesimi Büyükbabani
Case Report

Abstract

Background

The Toxocara organism may cause direct injury to the eye, but most commonly, host inflammatory reactions are responsible for the resulting compromise. The inflammatory response created by the ocular involvement may result in epiretinal membrane formation, tractional or combined tractional-rhegmatogenous retinal detachment. The treatment of choice is pars plana vitrectomy (PPV), which also has diagnostic significance.

Methods

We report a pediatric case in which PPV recovered the Toxocara canis organism. For the total tractional retinal detachment diagnosed after the cataract surgery, PPV, preretinal and subretinal membrane peeling, 180° retinotomy, silicone oil injection were performed. The fibrous membrane specimen obtained during PPV recovered the Toxocara canis organism.

Results

The intense postoperative inflammatory reaction had to be managed surgically, also. Retinal reattachment was achieved with subsequent improvement of the visual acuity.

Conclusion

The importance of vitreous biopsy examination following PPV, in eyes in which etiology is uncertain and the intense antiinflammatory therapy applied within and following vitreoretinal surgery is emphasized.

Keywords

Pars plana vitrectomy Toxocara canis Tractional retinal detachment 

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Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  • Nur Acar
    • 1
  • Ziya Kapran
    • 1
  • Canan Aslı Utine
    • 2
    • 3
  • Nesimi Büyükbabani
    • 4
  1. 1.Beyoglu Eye Research and Training HospitalIstanbulTurkey
  2. 2.Beyoglu Eye Research and Training Hospital, Department of OphthalmologyYeditepe UniversityIstanbulTurkey
  3. 3.Nisantasi, IstanbulTurkey
  4. 4.Pathology Department, Faculty of MedicineUniversity of IstanbulIstanbulTurkey

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