Histopathologic examination findings for the fibrocellular membrane revealed plasma cells, lymphocytes, and eosinophils. Adjacent fluffy infiltrate in papillomacular bundle. Intraretinal macular lesion with epiretinal membrane (black arrow) and subretinal granuloma (white arrow). During membrane stripping the nasal white nodules peeled off the retinal surface. A pars plana vitrectomy, membrane stripping, retinotomy, and removal of the epiretinal, retinal, and subretinal granuloma were done.Īt vitrectomy, the macular lesion was dumbbell shaped: an intraretinal core connected a round epiretinal component and subretinal component ( Figure 2). He improved until macular traction developed in July 1996. The clinical presentation was now consistent with toxocariasis. A partial posterior vitreous detachment was noted over the nasal retina with vitreous inflammation. The macular lesion enlarged into a solid, elevated mass with subretinal hyperpigmentation. A chalky appearing intraretinal lesion appeared preretinal and temporal to the fovea. The nasal retinal lesion was now raised and its surface was contiguous with a band of vitreous inflammatory membranes. One month later, the visual acuity OS dropped to 20/80. Nasal intraretinal infiltrate with adjacent satellite lesions.
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