NEW OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY FINDINGS ON AN INTRARETINAL VASCULAR PROCESS SECONDARY TO TOXOPLASMA RETINOCHOROIDITIS: 2 CASE REPORTS.

Autor: Toutée A; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France., Orès R; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France., Mrejen S; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France.; Centre d'Imagerie et de Laser, Paris, France., Bodaghi B; Department of Ophthalmology, Hôpital Pitié Salpétrière, Paris, France.; Sorbonne University, Paris, France ; and., Kobal A; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France., Merabet L; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France., Brignole-Baudouin F; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France., Sahel JA; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France.; Sorbonne University, Paris, France ; and., Nghiem-Buffet S; Centre d'Imagerie et de Laser, Paris, France., Errera MH; Quinze-Vingts National Eye Hospital, DHU Sight Restore, Paris, France.; Sorbonne University, Paris, France ; and.; Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Jazyk: angličtina
Zdroj: Retinal cases & brief reports [Retin Cases Brief Rep] 2022 Mar 01; Vol. 16 (2), pp. 212-217.
DOI: 10.1097/ICB.0000000000000926
Abstrakt: Background/purpose: To determine which retinal layer is primarily involved in intraretinal vascular processes associated with Toxoplasma retinochoroiditis using multimodal imaging, including optical coherence tomography angiography (OCTA).
Methods: Toxoplasma retinal lesions were analyzed through multimodal imaging, including color fundus photographs, fluorescein angiography, indocyanine green angiography, spectral-domain OCT, and OCTA.
Results: Two patients with atypical features of Toxoplasma retinochoroiditis are described in the acute phase. The first patient presented with a primary episode of acute Toxoplasma retinitis associated with an intraretinal abnormal vascular process that was detected at the acute phase by indocyanine green angiography and was better delineated by OCTA. Seven months later, the intraretinal vascular process had fully resolved on OCTA imaging. The second patient presented with a recurrence of active Toxoplasma retinochoroiditis adjacent to a pre-existing pigmented scar. He had a similar abnormal intraretinal vascular process that was identified on both fluorescein angiography at the early phase and indocyanine green angiography, which was also confirmed by OCTA imaging.
Conclusion: We report a new finding associated with Toxoplasma chorioretinitis: an abnormal intraretinal vascular process that resolved without anti-vascular endothelial growth factor therapy but after toxoplasmosis treatment alone.
Databáze: MEDLINE