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. 2019 Jan-Mar;33(1):84-87.
doi: 10.1016/j.sjopt.2018.07.002. Epub 2018 Jul 26.

Ocular toxoplasmosis related macular traction: A case report and review of the literature

Moustafa Sameer A Magliyah  1 , Wajeeha Ibrahim Al-Khars  2
Affiliations

Ocular toxoplasmosis related macular traction: A case report and review of the literature

Moustafa Sameer A Magliyah et al. Saudi J Ophthalmol. 2019 Jan-Mar.

Abstract

This is a case of toxoplasmosis retinochoroiditis which has resulted in the formation of vitreomacular traction upon resolution which is rarely associated with ocular toxoplasmosis. A 39-year-old male came with an active toxoplasmosis retinochoroiditis. Best-corrected visual acuity, full ophthalmic slitlamp examination, colour fundus photography, spectral domain optical coherence tomography (SD-OCT), and fluorescein angiography were performed. Presumed ocular toxoplasmosis diagnosis was supported by serological tests. The patient was treated medically for 45 days and on his follow up he developed macular traction which was shown in SD-OCT with a good visual acuity. Vitreoretinal traction is a rare complication of ocular toxoplasmosis and ranges from mild to severe traction which might require surgery. We suggest a close follow up for patients with toxoplasmosis retinochoroiditis and early recognition could avoid exposing patients to surgery.

Keywords: Ocular toxoplasmosis; Toxoplasma retinochoroiditis; Vitreomacular traction.

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Figures

Fig. 1
Fig. 1
(A) shows presumed ocular toxoplasmosis-related retinitis inferotemporal to the macula on fundus examination. (B) shows SD-OCT with accomulation of subretinal fluid under the chorioretinitis lesion. (C) shows fundus fluorescine angiography with early hypofluoresence at the chorioretinal lesion site. (D) shows fundus fluorescine angiography with late leakage at the site of chorioretinal lesion.
Fig. 2
Fig. 2
(A) shows scarring of the chorioretinal lesion upon resolution with the formation of vitreomacular traction. (B) shows SD-OCT of the macula with superficial traction involving the fovea. (C) shows SD-OCT with vitreoretinal traction at the site of scar.
Fig. 3
Fig. 3
(A) shows scarring at the area of previous chorioretinal lesion with peripheral suspecious area of chorioretinitis. (B) shows fundus fluorescine angiography with early hyperfluorescence peripheral to the scar. (C) shows fundus fluorescine angiography with late leakage peripheral to the scar indicating an active satellite lesion.
See this image and copyright information in PMC

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