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Pars plana vitrectomy revealed Toxocara canis organism

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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.

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Authors and Affiliations

  1. Beyoglu Eye Research and Training Hospital, Istanbul, Turkey

    Nur Acar & Ziya Kapran

  2. Beyoglu Eye Research and Training Hospital, Department of Ophthalmology, Yeditepe University, Istanbul, Turkey

    Canan Aslı Utine

  3. Guzelbahce sokak No:14/4 Hancioglu apt., Nisantasi, Istanbul, Turkey

    Canan Aslı Utine

  4. Pathology Department, Faculty of Medicine, University of Istanbul, Istanbul, Turkey

    Nesimi Büyükbabani

Authors
  1. Nur Acar
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  2. Ziya Kapran
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  3. Canan Aslı Utine
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  4. Nesimi Büyükbabani
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Corresponding author

Correspondence to Canan Aslı Utine.

Additional information

None of the authors has any financial or proprietary interest in this study. The authors have full control of all primary data and they are to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review their data upon request.

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Acar, N., Kapran, Z., Utine, C.A. et al. Pars plana vitrectomy revealed Toxocara canis organism. Int Ophthalmol 27, 277–280 (2007). https://doi.org/10.1007/s10792-007-9078-1

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  • DOI: https://doi.org/10.1007/s10792-007-9078-1

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