As the Worm Turns: An Infant with Exotropia.

Abstract:

:A two-year-old full-term boy with a history of an intermittent exotropia presented to the pediatric ophthalmology clinic for routine follow-up. He was found to have a stable sensorimotor examination however dilated funduscopic examination of the right eye was significant for a dim foveal reflex with a new discrete, white, elevated retinal lesion superotemporal to the fovea with surrounding subretinal exudates. An examination under anesthesia (EUA) was performed two days later that revealed a subretinal posterior pole granuloma with hyperfluorescence and late leakage from the lesion without telangiectatic vessels on fluorescein angiography. A repeat EUA one month later demonstrated an increase in surrounding subretinal and overlying intraretinal fluid. The patient was started on topical 1% prednisolone with a presumed diagnosis of Toxocara granuloma. At EUA, three months later, the subretinal and intraretinal fluid had resolved. The topical steroids were tapered, and the patient continues to be followed closely.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Hennein L,de Alba Campomanes AG,Afshar AR,Robbins SL

doi

10.1016/j.survophthal.2020.12.003

subject

Has Abstract

pub_date

2020-12-10 00:00:00

eissn

0039-6257

issn

1879-3304

pii

S0039-6257(20)30175-2

pub_type

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