Pathological Case of the Month FREE

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). The right eye was enucleated and examined (Figure 3 and Figure 4).