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Pathological Case of the Month
Gregg T. Lueder, MD;
Richard Grosten, MD;
Morton Smith, MD
From the Departments of Ophthalmology and Visual Sciences (Drs Lueder and Smith), Pediatrics (Dr Lueder), and Pathology (Dr Smith), Washington University Medical Center and St Louis Children's Hospital, St Louis, Mo; and the Department of Ophthalmology and Visual Sciences (Drs Grosten and Smith), University of Wisconsin Medical School, Madison.
Arch Pediatr Adolesc Med. 2001;155:519-520.
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THE RIGHT eye of an otherwise healthy 6-year-old girl was red for several months without pain. She had neither a history of ocular trauma nor family history of iritis, glaucoma, or ocular tumors. On examination, visual acuity was 20/50 OD and 20/20 OS. Intraocular pressure was 44 mm Hg OD (reference, <20 mm Hg). The conjunctiva was diffusely hyperemic. The patient had circulating cells in the anterior chamber and layered cells inferiorly (Figure 1). Computed tomography revealed calcification in the retina. Results of a serum Toxocara canis titer were 1:16. Examination under anesthesia revealed flaky and noncohesive white cells in the anterior chamber. In the recumbent position, the cells dispersed onto the anterior lens capsule and zonules. A large, white, elevated lesion was present in the peripheral retina with 2 creamy, elevated retinal nodules posteriorly (Figure 2. . . [Full Text of this Article]
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