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KMID : 0360220170580020156
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Journal of the Korean Ophthalmological Society
2017 Volume.58 No. 2 p.156 ~ p.164
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Clinical Manifestation and Outcomes of Neuroretinitis in Korea
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Jang Su-Gyeong
Pak Kang-Yeun
Kwon Han-Jo
Lee Seung-Min
Park Sung-Who
Byon Ik-Soo
Lee Ji-Eun
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Abstract
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Purpose: In the present study, the clinical characteristics and outcomes of neuroretinitis in Korea were investigated.
Methods: Seven consecutive patients with neuroretinitis from 2012 to 2015 were retrospectively reviewed.
Results: The present study included 9 eyes of 7 patients. The subjects consisted of 5 males and 2 females and the mean age was 45.1 ± 13.2 years. Two patients had Influenza-like symptoms and the others had no specific general symptoms. The mean best corrected visual acuity was logMAR 0.48 ± 0.55 (0-1.6) on the initial visit. Four patients 40 years of age or under had no abnormal findings in laboratory work-up. Conversely, 3 patients over 40 years of age were positive for Toxocara based on enzyme-linked immunosorbent assay (ELISA). Two of 3 patients positive for Toxocara were treated with albendazole and 1was not. Eight eyes had good visual recovery over 20/30 except for 1 patient who did not take the albendazole despite being positive for Toxocara detected using ELISA.
Conclusions: Three of 7 patients with neuroretinitis in Korea showed positive results for Toxocara based on ELISA. In cases with seropositive Toxocara ELISA results, albendazole treatment should be considered.
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KEYWORD
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Neuroretinitis, Ocular toxocariasis, Optic neuritis, Toxocara, Toxocariasis
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