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Ocular toxocariasis in children and youth

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Abstract

The number of infections with larvae of the Toxocara canis worm has been continuously increasing in the Polish population, and the diagnosis and treatment of this disease is difficult. The authors describe 81 cases of eye infection in children and youth at the age of 3 to 18 years. The lesions in 94 eyes were observed for 0.5 to 11 years. In all patients the diagnosis was confirmed by ELISA test. In the clinical picture various forms of uveitis and granuloma of the eye fundus were found. The treatment consisted in general and topical application of antihelmintics, antibiotics and corticosteroids. In 23 eyes photocoagulation, in 11 cryopexy, and in 3 vitrectomy was performed. Clinical improvement was observed in 50 eyes, stabilization of the lesions in 41 eyes, and deterioration in the remaining 3 eyes. The authors conclude that the best results are obtained through conservative treatment combined with photocoagulation and cryopexy.

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References

  1. Wilder H. Nematode endophthalmitis. Trans Am Acad Ophthalmol 1950; 55: 99.

    Google Scholar 

  2. Beaver PC. The nature of VLM. J Parasitology 1969; 55: 3–12.

    Google Scholar 

  3. Nichols RL. Etiology of visceral larva migrans, 1: Diagnostic morphology of infective second stage toxocaral larvae. J Parasitol 1956; 42: 349.

    Google Scholar 

  4. Edwards MG, Pordell GR. Ocular Toxocariasis studied by CT scanning. Radiology 1985; 157: 685–86.

    Google Scholar 

  5. Huismans H. Toxocara canis (Larva migrans visceralis) am ophthalmologischer Sicht. Klin Mbl Augenheilk 1980; 177: 584–600.

    Google Scholar 

  6. Kwiatkowska-Kawecka Z. Objawy oczne wywolane przez wędrujcą larwę Toxocara canis. Klin Oczna 1969; 39: 765–771.

    Google Scholar 

  7. Molk R. Ocular toxocariasis: A review of the literature. Ann Ophthalmol 1983; 15: 217–31.

    Google Scholar 

  8. Tuft SJ, Clemett RS. Ocular toxocariasis. Trans Ophthal Soc NZ 1983; 35: 70–2.

    Google Scholar 

  9. Cox TA, Haskins GE, Gangitano JL, Antonson DI. Bilateral Toxocara optic neuropathy. J Clin Neuro-Ophthalmol 1983; 3: 267–74.

    Google Scholar 

  10. Duguid IM. Features of ocular infestation by Toxocara. Br J Ophthalmol 1961; 45: 789–96.

    Google Scholar 

  11. Nolan J. Chronic toxocaral endophthalmitis. Br J Ophthalmol 1968; 52: 276–77.

    Google Scholar 

  12. Rey A. Nematode endophthalmitis due to Toxocara. Br J Ophthalmol 1962; 46: 616–18.

    Google Scholar 

  13. Sorr EM. Meandering ocular toxocariasis. Retina 1984; 4: 91–6.

    Google Scholar 

  14. Ghafoor SYA, Smith HV, Lee WR, Quinn R, Girdwoor RWA. Experimental ocular toxocariasis: A mouse model. Br J Ophthalmol 1984; 68: 89–96.

    Google Scholar 

  15. Glickman LT, Grieve RB, Lauria SS, Jones DL. Serodiagnosis of ocular toxocariasis: A comparison of two antigens. J Clin Pathol 1985; 38: 103–707.

    Google Scholar 

  16. Pollard ZF, Jarrett WH, Hagler WS, Allain DS, Schantz PM. ELISA for diagnosis of ocular toxocariasis. Ophthalmology 1979; 86: 743–52.

    Google Scholar 

  17. Watzke RC, Oaks JA, Folk JC. Toxocara canis infection of the eye. Arch Ophthalmol 1984; 102: 282–91.

    Google Scholar 

  18. Żygulska-Mach H, Ziobrowski S, Ciechanowska A, Kornacki B. L'uvéite parasitaire induite par Toxocara canis. Bull et Mém SFO 1986; 97: 395–97.

    Google Scholar 

  19. Żygulska-Mach H, Ziobrowski S. Przypadek toksokariozy ocznej leczonej fotokoagulacją ksenonową. Klin Oczna 1987; 89: 213–14.

    Google Scholar 

  20. Wilkinson ChP, Welch RB. Intraocular Toxocara. Am J Ophthalmol 1971; 71: 921–30.

    Google Scholar 

  21. Biglan AW, Glickman LT, Lobes LA Jr. Serum and vitreous Toxocara antibody in nematode endophthalmitis. Am J Ophthalmol 1979; 88: 898–901.

    Google Scholar 

  22. Belmont JB, Irvine A, Benson W, O'Connor GR. Vitrectomy in ocular toxocariasis. Arch Ophthalmol 1982; 100: 1912–15.

    Google Scholar 

  23. Shields JA. Ocular toxocariasis: A review. Surv Ophtalmol 1984; 28: 361–81.

    Google Scholar 

  24. Ellis GS, Pakalnis VA, Worley G, Green JA, Frothingham TE, Sturner RA, Walls KN. Toxocara canis infestation: Clinical and epidemiological assocations with seropositivity in kindergarden children. Ophtalmology 1986; 93: 1032–37.

    Google Scholar 

  25. Kielar RA. Toxocara canis endophthalmitis with low ELISA titer. Ann Ophthalmol 1983; 15: 447–49.

    Google Scholar 

  26. Brasseur G, Charlin JF, Brasseur P, Langlois J. Toxocarose oculaire. J Fr Ophtalmol 1984; 7: 221–26.

    Google Scholar 

  27. Petithory JC. Diagnostic immunologique du syndrome de larva migrans oculaire. Ophtalmologie 1990; 4: 298–300.

    Google Scholar 

  28. Rodriguez A. Early pars plana vitrectomy in chronic endophthalmitis. Graefe's Arch Exp Ophthalmol 1986; 224: 218–20.

    Google Scholar 

  29. Szewczyk-Bocheńska N, Portacha L, Zapart W. Znaczne upośledzenie ostrości wzroku spowodowane pasożytniczym zapaleniem siatkówki i błony naczyniowej w przebiegu infekcji Toxocara canis. Klin Oczna 1981; 83: 373–75.

    Google Scholar 

  30. Raistrick ER, Dean-Hart JCD. Ocular toxocariasis in adults. Br J Ophthalmol 1972; 60: 365–70.

    Google Scholar 

  31. Siam AL. Toxocarae chorio-retinitis: Treatment of early case with photocoagulation. Br J Ophthalmol 1973; 57: 700–703.

    Google Scholar 

  32. Treister G, Machemer R. Results of vitrectomy for rare proliferative and hemorrhagic diseases. Am J Ophthalmol 1977; 84: 394–412.

    Google Scholar 

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Authors and Affiliations

  1. Ophthalmological Clinic, Medical Academy of Krakow, 38 Kopernika Street, 35-501, Krakow, Poland

    H. Żygulska-Mach, K. Krukar-Baster & S. Ziobrowski

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  1. H. Żygulska-Mach
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  2. K. Krukar-Baster
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  3. S. Ziobrowski
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Żygulska-Mach, H., Krukar-Baster, K. & Ziobrowski, S. Ocular toxocariasis in children and youth. Doc Ophthalmol 84, 145–154 (1993). https://doi.org/10.1007/BF01206249

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  • DOI: https://doi.org/10.1007/BF01206249

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