Ocular toxoplasmosis related macular traction: A case report and review of the literature

Abstract

This is a case of toxoplasmosis retinochoroiditis which has resulted in the formation of vitreomacular traction upon resolution which is rarely associated with ocular toxoplasmosis. A 39-year-old male came with an active toxoplasmosis retinochoroiditis. Best-corrected visual acuity, full ophthalmic slitlamp examination, colour fundus photography, spectral domain optical coherence tomography (SD-OCT), and fluorescein angiography were performed. Presumed ocular toxoplasmosis diagnosis was supported by serological tests. The patient was treated medically for 45 days and on his follow up he developed macular traction which was shown in SD-OCT with a good visual acuity. Vitreoretinal traction is a rare complication of ocular toxoplasmosis and ranges from mild to severe traction which might require surgery. We suggest a close follow up for patients with toxoplasmosis retinochoroiditis and early recognition could avoid exposing patients to surgery.

Pars plana vitrectomy and visual stimulation for treatment of vitreomacular traction secondary to toxoplasmosis retinochoroiditis in a 5-year-old child

“…(2) Vitreous haze and cells may sometimes be seen at the site of inflammation, However, these tend to resolve spontaneously, with no negative impacts on the vitreoretinal interface. (3) An unusual manifestation of ocular toxoplasmosis, resulting in significant vitreomacular traction, is reported herein. Significant improvement was obtained after pars plana vitrectomy (PPV) combined with visual stimulation and occlusion therapy.…”