Fuchs heterochromic cyclitis and ocular toxocariasis.
OBJECTIVE
To report the association of Fuchs heterochromic cyclitis (FHC) and ocular toxocariasis in a young adult.


METHODS
Observational case report.


METHODS
A 26-year-old patient was referred for the management of a unilateral intermediate uveitis associated with a lower peripheral subretinal fibrotic lesion near the pars plana. Diagnosis of FHC was clinically confirmed. Laboratory examination was performed to exclude an infectious condition.


RESULTS
LISA assay detected significant levels of IgG directed against Toxocara canis. Toxoplasmic serology was negative, excluding this differential diagnosis. Other examinations, including complete blood cell count, urinalysis, serum angiotensin-converting enzyme, lysosyme, chest CT scan, and syphilis serology were noncontributive.


CONCLUSIONS
Previous studies have reported on the association of FHC and other parasitic conditions, such as toxoplasmosis but also on herpetic ocular infections. Serologic analysis for toxocariasis may be proposed in patients with FHC and retinal scars in the absence of toxoplasmosis.
Teyssot
Nicolas
N
Department of Ophthalmology, University of Paris VI, Pitié-Salpêtrière Hospital, 47-83 Boulevard de l'Hôpital, 75013 Paris, France.
Cassoux
Nathalie
N
Lehoang
Phuc
P
Bodaghi
Bahram
B
D000328:Adult; D000818:Animals; D000909:Antibodies, Helminth / Q000097:blood; D004797:Enzyme-Linked Immunosorbent Assay; D015822:Eye Infections, Parasitic / Q000276:immunology / Q000469:parasitology*; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D015863:Iridocyclitis / Q000276:immunology / Q000469:parasitology*; D017166:Toxocara canis / Q000276:immunology / Q000302:isolation & purification*; D014120:Toxocariasis / Q000276:immunology / Q000469:parasitology*
D000909:Antibodies, Helminth; D007074:Immunoglobulin G