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Korean J Ophthalmol. 2012 Feb;26(1):58-60. doi: 10.3341/kjo.2012.26.1.58. Epub 2012 Jan 14.

A case of ocular toxoplasmosis imaged with spectral domain optical coherence tomography.

Author information

1
Department of Ophthalmology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Abstract

A 54-year-old man presented with blurred central vision in the right eye of two weeks' duration. On presentation, visual acuity was 40 / 50 in the right eye and fundus examination showed a whitish-yellow inflammatory lesion near an atrophic, pigmented retinochoroidal scar located in the superotemporal quadrant. Serologic assessment was negative for IgM, but serum IgG to toxoplasma was elevated. Spectral domain optical coherence tomography (SD-OCT) revealed increased reflectivity from the inner retinal layer, retinal thickening, and choroidal shadowing while focal posterior hyaloid thickening and detachment were observed in the new lesion. He was treated with trimethoprim/sulfamethoxazole, clindamycin, and prednisone. SD-OCT is helpful for definitively differentiating ocular toxoplasmosis from other retinal diseases.

KEYWORDS:

Ocular toxoplasmosis; Retinochoroiditis; Spectral domain optical coherence tomography

PMID:
22323888
PMCID:
PMC3268171
DOI:
10.3341/kjo.2012.26.1.58
[Indexed for MEDLINE]
Free PMC Article
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