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A Case of Ocular Toxocariasis Successfully Treated with Albendazole and Triamcinolon
Authors:San Seong  Daruchi Moon  Dong Kyu Lee  Hyung Eun Kim  Hyun Sup Oh  Soon Hyun Kim  Oh Woong Kwon  Yong Sung You
Affiliation:Nune Eye Hospital, Noon Building, Seoul 135-280, Korea.
Abstract:We present a case of ocular toxocariasis treated successfully with oral albendazole in combination with steroids. A 26-year-old male visited the authors'' clinic with the chief complaint of flying flies in his right eye. The fundus photograph showed a whitish epiretinal scar, and the fluorescein angiography revealed a hypofluorescein lesion of the scar and late leakage at the margin. An elevated retinal surface and posterior acoustic shadowing of the scar were observed in the optical coherence tomography, and Toxocara IgG was positive. The patient was diagnosed with toxocariasis, and the condition was treated with albendazole (400 mg twice a day) for a month and oral triamcinolone (16 mg for 2 weeks, once a day, and then 8 mg for 1 week, once a day) from day 13 of the albendazole treatment. The lesions decreased after the treatment. Based on this study, oral albendazole combined with steroids can be a simple and effective regimen for treating ocular toxocariasis.
Keywords:Toxocara spp.   ocular toxocariasis   albendazole   oral steroid
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