RESUMO
CLINICAL CASE: A 25-year-old man presented with a unilateral retinal detachment, and an ipsilateral preretinal mass; ultrasonographic findings included a high-reflective peripheral mass and a retinal fold. A presumptive diagnosis of a peripheral toxocara granuloma was entertained. We performed a 360 degree circumferential scleral buckle and a conventional vitrectomy via the pars plana. Histologic examination of the mass defined a central non-metallic foreign body surrounded by fibrous tissue. DISCUSSION: An intraocular non-metallic foreign body, surrounded by a fibrous capsule and feeding and draining blood vessels, can mimic the characteristics of a peripheral toxocara granuloma, and the differential diagnosis has to be kept in mind.
Assuntos
Corpos Estranhos no Olho/complicações , Descolamento Retiniano/etiologia , Adulto , Corpos Estranhos no Olho/diagnóstico , Corpos Estranhos no Olho/cirurgia , Humanos , Masculino , Descolamento Retiniano/diagnóstico , Descolamento Retiniano/cirurgia , Resultado do Tratamento , Acuidade Visual , Vitrectomia/métodosRESUMO
Caso Clínico: Se trata de un hombre de 25 años con desprendimiento de retina unilateral y presencia de una masa pre-retiniana ipsilateral. Ecográficamente la masa periférica presentaba una reflectividad alta. Se realizó un cerclaje escleral en 360Þ con vitrectomía vía pars plana convencional. El examen histopatológico reveló un CEIO no metálico rodeado por una cubierta de tejido fibroso.Discusión: Los cuerpos extraños intraoculares rodeados con tejido fibroso y presencia de vasos nutricios se pueden presentar con las características de un granuloma periférico por toxocara, otro diagnóstico diferencial para tener presente
Clinical case: A 25-year-old man presented with a unilateral retinal detachment, and an ipsilateral preretinal mass; ultrasonographic findings included a high-reflective peripheral mass and a retinal fold. A presumptive diagnosis of a peripheral toxocara granuloma was entertained. We performed a 360 degree circumferential scleral buckle and a conventional vitrectomy via the pars plana. Histologic examination of the mass defined a central non-metallic foreign body surrounded by fibrous tissue. Discussion: An intraocular non-metallic foreign body, surrounded by a fibrous capsule and feeding and draining blood vessels, can mimic the characteristics of a peripheral toxocara granuloma, and the differential diagnosis has to be kept in mind
