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Ocular Larva Migrans
Aka: Ocular Larva Migrans, Endophthalmitis
- See Also
- Visceral Larva Migrans
- Epidemiology
- Incidence: 700 cases per year in United States
- Etiology
- Roundworm infection (Toxocariasis)
- Pathophysiology
- Spreads to eye from concurrent Visceral Larva Migrans
- Symptoms
- Gradual or sudden visual loss
- Eye discomfort
- Symptoms of Visceral Larva Migrans often absent
- Signs: Slit Lamp Exam
- Endophthalmitis
- Leukocoria
- Choroidal granuloma
- Labs
- Eosinophilia (rare)
- Eosinophils in Aqueous Humor
- Differential Diagnosis
- Retinoblastoma
- Strabismus
- Exudative retinitis (Coat's disease)
- Course
- Ocular symptoms may present up to 10 years later
- Management
- No satisfactory treatment
- Trial of Corticosteroids
- Surgery may be indicated in severe cases