A 54-year-old African-American woman complained of pain behind her left eye. Her uncorrected visual acuity was 20/40 in the right eye and 20/50 in the left. Intraocular pressure was 13 mmHg in the right eye and 12 mmHg in the left.
Medical history included nonspecific arthritis. Upon dilated fundus exam, a large, yellowish, elevated granuloma unrelated to the pain behind her eye was found nasal to the optic disc in the left eye. The lesion appeared to be subretinal with distinct borders, and there was tractional gliosis on the temporal edge adjacent to the optic nerve. Asked whether she had any pets as a child, the patient recalled that she did have a dog. Final diagnosis was old, inactive toxocariasis.
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