Ultra-widefield image of a toxocara granuloma with an adjacent retinal break and retinal detachment.

A 17-year-old child presented with 2 month history of decreased vision in right eye. Visual acuity was hand movement, pupillary reaction sluggish, anterior chamber quiet, lens clear, and vitreous cavity quiet. A total retinal detachment with temporal peripheral granuloma and retinal fold was suggestive of Toxocara with a large retinal break adjoining the retinal fold.[12] Inferior retina had a subretinal band (Fig. 1: Optos Image).[34] Human infection of Toxocara is due to accidental ingestion of infective eggs of Toxocara cati or canis from contaminated food or geophagia. Children up to 10 years are more prone to be infected due to geophagia.[124]

Figure 1

Ultra-widefield Optos image of right eye of patient showing a total retinal detachment with a peripheral toxocara granuloma, retinal fold, and an adjoining retinal break. Inferior retinal periphery shows a subretinal retinal fold

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