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Evaluation of therapeutic modalities for ocular toxocariasis Toru Urano 1 , Chikako Taguchi 1 , Kuniko Tananari 1 , Koichi Yoshimura 1 , Naofumi Hikita 1 , Ryoji Yamakawa 1 , Nobuaki Akao 2 , Manabu Mochizuki 3 1Dept of Ophthalmol, Kurume Univ Sch of Med 2Dept of Environ Paracytol, Tokyo Med and Dental Univ Graduate Sch 3Dept of Ophthalmol and Visual Science, Tokyo Med and Dental Univ Graduate Sch pp.908-913
Published Date 2002/5/15
DOI https://doi.org/10.11477/mf.1410909113
  • Abstract
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We reviewed 16 cases of ocular toxiocariasis seen during the past 11 years. The series com-prised 11 males and 5 females. Their age ranged from 9 to 73 years, average 38 years. Twelve cases were aged 20 years or older. All the cases were unilaterally involved. The intraocular manifestation was classified as peripheral 10 eyes, central 2 eyes, endophthalmitis 2 eyes after Wilkinson, and, additionally, mixed 2 eyes. Fourteen cases with active ocular lesions received systemic medications, followed by stabilization and recu-rrence in 7 cases each. Retinal cryotherapy was performed on 4 of the 7 recurred cases, resulting in further recurrence in 3 cases. Vitrectomy was performed on 6 cases which included recurrence 4 cases, vitreous hemorrhage 1 case and proliferative vitreoretinopathy 1 case. There was no further recurrence following vitrectomy with complete removal of the foci. The final visual acuity was evaluated as improved in 6 cases, un-changed in 7 cases and deteriorated in 1 case. The findings show that vitrectomy may be effective after failure of systemic medications and that it is imperative to remove the intraocular foci, where the antigen is su-pposed to exist.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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