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[Submacular surgery in ocular toxocariasis: a clinic-pathologic correlation]
Ricardo J Smith1, Leandro J Caribaux, Victor E Reviglio
1Fundación VER, Córdoba, Argentina.
Summary
Submacular surgery improved vision in a child with ocular toxocariasis and a submacular membrane. Pathologic findings confirmed a fibrovascular scar, suggesting surgery effectively treated this parasitic eye infection.
Area of Science:
- Ophthalmology
- Parasitology
- Surgical Pathology
Background:
- Ocular toxocariasis is a parasitic infection causing vision-threatening complications.
- Submacular fibrovacular membranes and retinal detachment are severe sequelae.
Observation:
- A nine-year-old boy presented with chronic ocular toxocariasis and a submacular membrane.
- Fundus examination revealed vitreous strands, retinal attachment, and exudative macular detachment.
Findings:
- Vitrectomy with submacular membrane removal was performed.
- Post-operative visual acuity improved from hand motion to 20/400.
- Histopathology confirmed a fibrovascular scar without parasitic remnants.
Implications:
- Submacular surgery offers a viable treatment for ocular toxocariasis with submacular complications.
- This surgical approach can improve visual acuity and address vitreoretinal issues.
- It enables excision of submacular membranes and retinal reattachment in the macula.