Klin Monbl Augenheilkd 2009; 226(4): 355-356
DOI: 10.1055/s-0028-1109269
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© Georg Thieme Verlag KG Stuttgart · New York

Rhegmatogenous Retinal Detachment in Toxoplasmic Chorioretinitis

Rhegmatogene Netzhautablösung bei Toxoplasma chorioretinitisL. Konstantinidis, T. J. Wolfensberger
Further Information

Publication History

received: 18.9.2008

accepted: 13.11.2008

Publication Date:
21 April 2009 (online)

Background

Toxoplasmic retinochoroiditis is the most common cause of posterior uveitis worldwide [6].

In patients with ocular toxoplasmosis, the frequency of rhegmatogenous retinal detachments is higher than that of the non-uveitic population, and the prevalence is estimated to be between 3.5 to 6 % [1] [5]. Conversely, ocular toxoplasmosis accounts for about 0.6 % of rhegmatogenous retinal detachments [2]. The visual prognosis of retinal detachment complicating ocular toxoplasmosis has been reported as very poor with legal blindness occurring in about 56 % of the cases [1].

We herein present an atypical case of total rhegmatogenous retinal detachment due to ocular toxoplasmosis associated with very limited visual acuity at presentation. Appropriate vitreoretinal surgery led to a good anatomical and functional outcome.

References

  • 1 Bosch-Driessen L H, Karimi S, Stilma J S. et al . Retinal detachment in ocular toxoplasmosis.  Ophthalmology. 2000;  107 (1) 36-40
  • 2 Hagler W S, Jarret W H, Chang M. Rhegmatogenous retinal detachment following chorioretinal inflammatory disease.  Am J Ophthalmol. 1978;  86 (3) 373-379
  • 3 Haimann M H, Burton T C, Brown C K. Epidemiology of retinal detachment.  Arch Ophthalmol. 1982;  100 (2) 289-292
  • 4 Hikichi T, Ueno N, Chakrabarti B. et al . Evidence of cross-link formation of vitreous collagen during experimental ocular inflammation.  Graefes Arch Clin Exp Ophthalmol. 1996;  234 (1) 47-54
  • 5 Kerkhoff F T, Lamberts Q J, Biesen van den P R. et al . Rhegmatogenous retinal detachment and uveitis.  Ophthalmology. 2003;  110 (2) 427-431
  • 6 Smith J R, Cunningham Jr E T. Atypical presentations of ocular toxoplasmosis.  Curr Opin Ophthalmol. 2002;  13 (6) 387-392

Thomas J. Wolfensberger MD, PD, MER

Jules Gonin Eye Hospital

Av. de France 15

1004 Lausanne

Switzerland

Phone: + + 41/21/6 26 81 11

Email: thomas.wolfensberger@fa2.ch