Foveal reorganization after treatment of acute foveal toxoplasmic retinochoroiditis

Autor: Mojtaba Abrishami, Seyedeh Maryam Hosseini, Solmaz Momtahen, Ghodsieh Zamani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Ophthalmic Inflammation and Infection, Vol 11, Iss 1, Pp 1-6 (2021)
Druh dokumentu: article
ISSN: 1869-5760
DOI: 10.1186/s12348-021-00246-2
Popis: Abstract Purpose To report a patient with impaired vision due to foveal involvement of toxoplasmic retinochoroiditis, who was successfully treated with intravitreal clindamycin and dexamethasone and oral therapy with azithromycin, trimethoprim-sulfamethoxazole, and prednisolone and led to successful visual and anatomic recovery. Case presentation A 32-year-old man presented with three-day history of gradually decreasing visual acuity, redness, pain and photophobia of the right eye. Anterior chamber cellular reaction, vitritis and a white retinochoroiditis patch with adjacent retinal vasculitis in the fovea was suggestive of the toxoplasmic retinochoroiditis. He was treated with intravitreal clindamycin and dexamethasone injection followed by six-week regimen of azithromycin, trimethoprim-sulfamethoxazole, and prednisolone. In serial optical coherence tomography imaging, retinitis patch changed to cavitary foveal destruction. Fovea reorganized gradually, and visual acuity concurrently improved from counting finger 3 m to 20/25. Conclusion In foveal toxoplasmic retinochoroiditis lesions, timely treatment is associated with retinal reorganization and visual improvement.
Databáze: Directory of Open Access Journals
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