Purpose: It is aimed to report on a 16-year-old
patient with acquired ocular toxoplasmosis complicated
by a retinal tear.
Methods: Retrospective medical chart review
Results: A 16-year-old Caucasian female presented with
vision loss in her right eye. In addition to a white active
lesion between the fovea and the optic nerve head,
marked vitreous opacification was noted. She was diagnosed
with ocular toxoplasmosis. The patient was treated
with oral azithromycin, clindamycin, and trimethoprimsulfamethoxazole.
One month later, retinochoroiditis
resolved and vitreous cleared. Three months after onset,
patient presented with floaters in the right eye and a
retinal tear was located at the temporal region of the
retina. Prophylactic argon laser treatment that encircled
the retinal tear was performed. No other abnormalities
were noted during 6 months of follow-up.
Conclusions: Retinal tear associated with ocular toxoplasmosis
is rare; however, a retinal tear can occur due to vitreoretinal
traction following post-inflammatory structural
alteration of the vitreous. Retinal tears may be seen during
the healing phase, when the inflammation turns into
tightening of vitreous substance. Careful retinal examination
in cases of ocular toxoplasmosis is warranted, especially
in patients with severe vitreous inflammation.
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