title: Adult ocular toxocariasis mimicking ciliary body malignancy.
abstract: Purpose. To discuss an unusual presentation of ocular toxocariasis. Methods. Case report. Results. A 40-year-old woman presented with decreased vision in the left eye with a long history of recurrent red eye from uveitis. Eosinophilia and positive ELISA titers for Toxocara canis favored the diagnosis of ocular toxocariasis. Over 3 months, an anterior scleral mass had a rapid growth raising the possibility of medulloepithelioma, which rarely can mimic uveitic syndromes. Surgical plan changed from local excision to enucleation. Histopathology demonstrated a large homogeneous mass of chronic inflammatory cells with inflammation of the overlying thinned out sclera, medial rectus insertion, and limbal cornea. The triad of peripheral granuloma, eosinophilia, and positive blood serology established the diagnosis of ocular toxocariasis. Conclusions. Ocular toxocariasis can mimic ocular malignancy such as medulloepithelioma in adults and rarely presents as an anterior scleral mass.
authors.affiliation: Department of Ophthalmology, Retina Service, American University of Beirut, P.O. Box 113-6044, Beirut, Lebanon.
authors.forename: Ahmad M
authors.initials: AM
authors.lastname: Mansour
authors.affiliation: Department of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, Lebanon.
authors.forename: Bachir
authors.initials: B
authors.lastname: Abiad
authors.affiliation: Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, Beirut 110 72020, Lebanon.
authors.forename: Fouad I
authors.initials: FI
authors.lastname: Boulos
authors.affiliation: Department of Ophthalmology, Retina Service, American University of Beirut, P.O. Box 113-6044, Beirut, Lebanon.
authors.forename: Ramzi
authors.initials: R
authors.lastname: Alameddine
authors.affiliation: Department of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, Lebanon.
authors.forename: Fadi C
authors.initials: FC
authors.lastname: Maalouf
authors.affiliation: Department of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, Lebanon.
authors.forename: Alaa
authors.initials: A
authors.lastname: Bu Ghannam
authors.affiliation: Uveitis Division, Department of Ophthalmology, American University of Beirut, P.O. Box 113-6044, Beirut, Lebanon.
authors.forename: Rola N
authors.initials: RN
authors.lastname: Hamam