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NR 10-12/2008
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Ocena obrazu
klinicznego, skuteczności leczenia oraz funkcji narządu wzroku u
dzieci i młodzieży z toksokarozą oczną
Clinical features, the
effectiveness of treatment and function of vision organ in
children and adolescents with ocular toxocariasis
Beata Urban, Alina Bakunowicz-Łazarczyk,
Michał Szumiński
Z Kliniki Okulistyki Dziecięcej Akademii Medycznej w Białymstoku
Kierownik: prof. dr hab. med. Alina Bakunowicz-Łazarczyk |
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| Summary: |
Purpose:
Toxocariasis is caused by Toxocara canis, the intestinal
nematode commonly found in dogs. Patients are mostly
young children, with an average age of 7.5 years.
Patients have unilateral progressive painless vision
loss and occasional leukocoria. Ocular toxocariasis has
a variable presentation, from localized peripheral or
macular granulomas to chronic endophthalmitis.
Material and methods: Clinical features, the
effectiveness of treatment and function of vision organ
in 19 children and adolescents with ocular toxocariasis
were analyzed retrospectively.
Results: The mean patient age was 10.3 years.
Inflammation was unilateral in all patients. In 11 cases
(57.9%) there was peripheral granuloma, in 3 cases
(15.8%) posterior pole granuloma and endophthalmitis in
5 cases (26.3%). Zentel was applied in 14 patients,
Hetrazan in 3 patients and Mintezol in 2 patients.
Improvement of visual acuity was achieved in 11 eyes
(57.9%), no improvement in 7 eyes (36.8%), deterioration
in 1 eye (5.3%).
Conclusions: Ocular toxocariasis is the disease
with differentiated clinical presentation. Toxocara
uveitis can cause significant vision loss. In some cases
quick diagnosis and effective treatment with
corticosteroids and antihelminthics allowed to obtain
clinical improvement. |
| Słowa kluczowe: |
toksokaroza oczna, dzieci. |
| Key words: |
ocular toxocariasis,
children. |
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