Toxocariasis-associated neuroretinitis: a case report
Medical Review (Med. pregled), 2025, 61(2), 52-56.
N. Andonova1, G. Markov3, O. Mladenov1,2, N. Veleva1,2, A. Oscar1,2
1 Eye Clinic, University Hospital Alexandrovska – Sofia
2 Department of Ophthalmology – Medical University – Sofia
3 Medical Center „Gina“ – Sofia
Abstract. Neuroretinitis represents an inflammatory disease of the optic nerve and the retina with varied etiology, which is characterized by edema of the optic nerve head and accumulation of exudate in the form of a macular star in the retina. Herein we present a case of an 11-year-old male patient with complaints of gradual visual loss in the the right eye from one week. Upon examination, unilateral neuroretinitis was found with anamnestic, clinical and serological data of ocula toxocarosis. The patient had improvement from therapy with Albendazole 400 mg once daily and intravenous Methylprednisolone of 20mg daily for one week and then tapering doses of oral Prednisolone for the next month. Our clinical case is an interesting example of ocular toxocarosis with the presence of granuloma associated with the optic nerve and macular star. Ocular toxocarosis should be kept in mind in the differential diagnosis of neuroretinits in children and young adults.
Key words: ocular toxocariasis, neuroretinitis, albendazole, corticosteroids
Address for correspondence: Nikolina Andonova, MD, e-mail: , ORCID iD: 0000-0003-4754-9343