Abstract

This a case of 2 immunocompromised patients with a surprising ocular toxocariasis infestation. The first is a 23-year-old girl who is a known case of systemic lupus erythematosus, presenting with both eyes progressive blurring of vision for the past 3 months. Examinations showed bilateral panuveitis with posterior pole granuloma. She was treated as endogenous endophthalmitis as per protocol, but with limited improvement. To our surprise and with high index of clinical suspicion, Toxocara serology was positive. She was then started on oral albendazole for 4 weeks. The second case is a 51-year-old lady with end stage renal failure undergoing regular dialysis and on immunosuppressive therapy. She was warded for long duration for sepsis secondary to candidal fungal infection. Examinations revealed right peripheral and posterior pole granulomas almost exactly similar to the first patient. She was treated for endogenous endophthalmitis and again in close succession a positive serology was confirmed. Both cases since then showed gradual clinical improvement.

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