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Ocular toxoplasmosis presenting as neuroretinitis: report of two cases
Cem Küçükerdönmez1, Yonca A Akova, Gürsel Yilmaz
1Department of Ophthalmology, Başkent University, School of Medicine, 10. Sokak no:45 Bahçelievler, 06490 Ankara, Turkey.
Background:
Neuroretinitis is a clinical entity usually seen in young healthy adults, that is characterized by rapid profound unilateral loss of vision and includes optic nerve head edema, splinter hemorrhages, macular exudate in a stellate pattern, and variable vitreous inflammation. There are numerous entities that can cause a picture of neuroretinitis ranging from vascular to infectious to autoimmune.
Patient And Methods:
We report two patients with neuroretinitis, who presented with unilateral blurred vision and had serologic evidence of Toxoplasma gondii infection.
Results:
Both patients responded well to treatment with systemic antibiotics and corticosteroids. Visual acuity returned to 20/60 in one patient and 20/20 in the other.
Conclusion:
Although the etiology is usually idiopathic, infectious causes of neuroretinitis, including toxoplasmosis, should be kept in mind in order to maintain visual acuity by early diagnosis and appropriate therapy.