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Ophthalmic Images

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

Chakraborty, Debdulal; Boral, Subhendu; Mukherjee, Angshuman; Majumdar, Saptorshi

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Indian Journal of Ophthalmology: November 2019 - Volume 67 - Issue 11 - p 1884
doi: 10.4103/ijo.IJO_1294_19
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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.[12] Inferior retina had a subretinal band (Fig. 1: Optos Image).[34] 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.[124]

Figure 1
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

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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.

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.

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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
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
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