title: Ocular toxocariasis presenting as bilateral scleritis with suspect retinal granuloma in the nerve fiber layer: a case report.
abstract: BACKGROUND
  This report details ocular toxocariasis presenting as bilateral scleritis with suspect retinal granuloma in the nerve fiber layer.
  
  
  METHODS
  The patient presented with scleritis, which did not improve with systemic steroid. Intraocular pressure was elevated, and well demarcated hyper-reflective round lesion were noted in both eyes. He had a history of general ache and concurrent onset of ocular symptoms the day after eating raw meat. Systemic work-ups revealed no remarkable abnormalities except antibody for toxocara. Oral albendazole and steroid were prescribed. The inflammation and swellings resolved without recurrence. In the current case, scleritis with suspect granuloma in the nerve fiber layer seems to be caused by toxocara.
  
  
  CONCLUSIONS
  Ocular toxocariasis can be presented as atypical features. Serologic exams for toxocariasis would be considered not only in typical features but also in other uveitis or scleritis, particularly when the patient has a related history.
authors.affiliation: Department of Ophthalmology, Haeundae Paik Hospital, Inje University, Busan, Korea.
authors.forename: Kang Yeun
authors.initials: KY
authors.lastname: Pak
authors.affiliation: Department of Ophthalmology, School of Medicine, Pusan National University, Yangsan, Korea.|Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Sung Who
authors.initials: SW
authors.lastname: Park
authors.affiliation: Department of Ophthalmology, School of Medicine, Pusan National University, Yangsan, Korea.|Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors.forename: Ik Soo
authors.initials: IS
authors.lastname: Byon
authors.affiliation: Department of Ophthalmology, School of Medicine, Pusan National University, Yangsan, Korea. jlee@pusan.ac.kr.|Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. jlee@pusan.ac.kr.
authors.forename: Ji Eun
authors.initials: JE
authors.lastname: Lee
mesh_terms: D000284:Administration, Oral; D000368:Aged; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000909:Antibodies, Helminth / Q000032:analysis; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008460:Meat / Q000469:parasitology; D012590:Sclera / Q000000981:diagnostic imaging; D015423:Scleritis / Q000175:diagnosis* / Q000188:drug therapy; D013256:Steroids / Q000627:therapeutic use; D041623:Tomography, Optical Coherence; D014120:Toxocariasis / Q000175:diagnosis* / Q000188:drug therapy; D014463:Ultrasonography
chemical_list: D000909:Antibodies, Helminth; D013256:Steroids; D015766:Albendazole
keywords: Ocular toxocariasis; Retinal granuloma; Scleritis; Toxocara; Visceral larva migrans