A Case of Ocular Toxocariasis Successfully Treated with Albendazole and Triamcinolon

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.

Who Let the Dogs Out? Unmasking the Neglected: A Semi-Systematic Review on the Enduring Impact of Toxocariasis, a Prevalent Zoonotic Infection

“…The diagnosis of OT represents a diagnostic challenge, something that may explain the limited existing data regarding the therapy of OT [246]. Even though some published cases of OT showed a favorable outcome when anthelmintic drugs were combined with corticosteroids; the role of such drugs, for example, ABZ, remains unclear [246,[264][265][266][267]. However, the therapy of OT is based on anthelmintic drugs in combination with corticosteroids or surgical interventions, depending on previous ocular comorbidities and grade of inflammation [268][269][270].…”

Ocular toxocariasis simulating a retinal hamartoma. A case report

“…Regarding treatment, we decided to monitor the patient, since her clinical presentation was a chronic one and did not have intraocular inflammation. While antiparasitic treatment has been reported as successful, its use is still controversial, although it is indicated for systemic disease; therefore, we did not consider it necessary for this patient 1,12 .…”

Toxocariasis ocular simulando un hamartoma retiniano. Reportefide un caso

“…Respecto al tratamiento, se decidió mantener bajo vigilancia a la paciente, ya que presentaba datos de cronicidad y no mostraba inflamación intraocular. Aunque los antiparasitarios se han reportado como tratamiento exitoso, su uso aún es controversial, aunque sí se indican para la enfermedad sistémica; por lo tanto, no se consideraron necesarios en esta paciente 1,12 .…”