Retinal detachment in ocular toxoplasmosis
| Autor: | J. S. Stilma, Shakila Karimi, Lotje H. Bosch-Driessen, Aniki Rothova |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity Adolescent genetic structures Fundus Oculi Eye disease Visual Acuity Blindness chemistry.chemical_compound Retinal Examination Risk Factors Ophthalmology Myopia Humans Medicine Child Toxoplasmosis Ocular Aged Netherlands Retrospective Studies Endophthalmitis Retina business.industry Incidence Retinal Detachment Retinal detachment Retinal Middle Aged Prognosis Retinal Perforations medicine.disease eye diseases Toxoplasmosis Surgery Vitreous Body Cross-Sectional Studies medicine.anatomical_structure chemistry Child Preschool Female sense organs medicine.symptom business Retinopathy |
| Zdroj: | Ophthalmology. 107:36-40 |
| ISSN: | 0161-6420 |
| DOI: | 10.1016/s0161-6420(99)00013-5 |
| Popis: | Purpose To report on the clinical course and prognosis of retinal breaks and detachment occurring in patients with ocular toxoplasmosis. Design Retrospective cross-sectional observational study. Participants One hundred fifty consecutive patients with ocular toxoplasmosis. Intervention A review of all records of patients with ocular toxoplasmosis who had consulted our department from 1990 through 1997 was performed. Main outcome measures The presence of retinal detachment or breaks and possible risk factors, such as age, myopia, the interval between the last recurrence of inflammation and the onset of retinal detachment, severity of vitritis, previous treatment methods, and the location of the retinal abnormalities, were analyzed. Results We found a frequency of 6% (9/150) for retinal detachment and an additional 5% (7/150) for retinal breaks among our patients with ocular toxoplasmosis. Attacks of active ocular toxoplasmosis preceding the retinal detachment or retinal breaks were characterized by severe intraocular inflammation. The frequency of myopia in our patients with retinal detachment or retinal breaks was significantly higher than in patients with ocular toxoplasmosis without retinal detachment or retinal breaks. The functional prognosis for the patients with retinal detachment was poor; legal blindness (visual acuity ≤ 20/200) resulting from retinal detachment occurred in five of the nine patients. Conclusions Careful retinal examination in ocular toxoplasmosis is warranted, especially in patients with myopia and severe intraocular inflammation. |
| Databáze: | OpenAIRE |
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