Korean J Parasitol.  2014 Oct;52(5):537-540. 10.3347/kjp.2014.52.5.537.

A Case of Ocular Toxocariasis Successfully Treated with Albendazole and Triamcinolon

• Seong S
• Moon D
• Lee DK
• Kim HE
• Oh HS
• Kim SH
• Kwon OW
• You YS

• KMID: 1792221
• DOI: http://doi.org/10.3347/kjp.2014.52.5.537

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.

Keyword

Toxocara spp.; ocular toxocariasis; albendazole; oral steroid

MeSH Terms

Adult
Albendazole/administration & dosage/*therapeutic use
Anthelmintics/administration & dosage/therapeutic use
Anti-Inflammatory Agents/administration & dosage/therapeutic use
Eye Diseases/*drug therapy/*parasitology
Humans
Male
Toxocariasis/*drug therapy
Triamcinolone/administration & dosage/*therapeutic use
Albendazole
Anthelmintics
Anti-Inflammatory Agents
Triamcinolone