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DOI: 10.1055/s-0028-1109269
© Georg Thieme Verlag KG Stuttgart · New York
Rhegmatogenous Retinal Detachment in Toxoplasmic Chorioretinitis
Rhegmatogene Netzhautablösung bei Toxoplasma chorioretinitisPublikationsverlauf
received: 18.9.2008
accepted: 13.11.2008
Publikationsdatum:
21. April 2009 (online)
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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
Telefon: + + 41/21/6 26 81 11
eMail: thomas.wolfensberger@fa2.ch