American Academy of Ophthalmology Web Site: www.aao.org
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September 2004

 
Blink
 
 


Karen McHugh, CRA,
Wake Forest University
Eye Center


 

BLINK

The answer to this month’s mystery image:

Toxocara

An 11-year-old boy was seen at the Wake Forest University Eye Center for decreased vision in his right eye during a school examination. Visual acuity was 20/50 in his right eye and 20/20 in his left. Pressures were 13 mmHg in the right eye and 15 mmHg in the left. The child had some early posterior subcapsular changes and 3+ cells in the right eye. Funduscopic exam revealed some puffballs in the vitreous cavity and some temporal pallor to his disc in the left eye. His right eye was normal. First impression was intermediate uveitis in the right eye. Laboratory tests were ordered, including Toxocara enzyme-linked immunosorbent assay; toxoplasmosis immunoglobulin G and IgM; antinuclear antibodies and angiotensin-converting enzyme. His workup came back positive for Toxocara.


 


Blink is edited by Richard E. Hackel, MA, CRA, FOPS