Optical coherence tomographic and angiographic findings of a case with subretinal toxocara granuloma.
OBJECTIVE
To study a case with a subretinal Toxocara granuloma.


METHODS
Interventional case report.


METHODS
A patient with a exudative macular lesion, diagnosed as ocular toxocariasis, was examined with optical coherence tomography (OCT) and angiography before and after systemic corticosteroid and anthelminthic therapy.


RESULTS
In OCT images, the macular granuloma initially appeared as a highly reflective mass protruding above the retinal pigment epithelium and showed dye leakage by angiography. Posttherapy, the lesion was no longer exudative, was less elevated, and was covered by the retinal pigment epithelium. There was reticular hyperfluorescence surrounded by a hypofluorescent rim in the angiograms.


CONCLUSIONS
Subretinal Toxocara granuloma may have a presentation similar to idiopathic choroidal neovascularization (CNV) and should be included in the differential diagnosis of the idiopathic CNV.
Higashide
Tomomi
T
Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan. eyetomo@kenroku-kanazawa-u.ac.jp
Akao
Nobuaki
N
Shirao
Etsuko
E
Shirao
Yutaka
Y
D000328:Adult; D000818:Animals; D000909:Antibodies, Helminth / Q000097:blood; D000947:Antigens, Helminth / Q000276:immunology; D004396:Coloring Agents; D003941:Diagnostic Techniques, Ophthalmological; D004049:Diethylcarbamazine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004797:Enzyme-Linked Immunosorbent Assay; D015822:Eye Infections, Parasitic / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005369:Filaricides / Q000627:therapeutic use; D005451:Fluorescein Angiography / Q000379:methods; D005938:Glucocorticoids / Q000627:therapeutic use; D006099:Granuloma / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007208:Indocyanine Green; D007368:Interferometry / Q000379:methods; D008027:Light; D011241:Prednisone / Q000627:therapeutic use; D012164:Retinal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D014054:Tomography / Q000379:methods; D014119:Toxocara / Q000276:immunology; D014120:Toxocariasis / Q000175:diagnosis* / Q000188:drug therapy
D000909:Antibodies, Helminth; D000947:Antigens, Helminth; D004396:Coloring Agents; D005369:Filaricides; D005938:Glucocorticoids; D007208:Indocyanine Green; D004049:Diethylcarbamazine; D011241:Prednisone