Retinal tear: an unusual complication of ocular toxoplasmosis
Ali Riza Cenk Celebi1, Ayse Ebru Kilavuzoglu2, Ugur Emrah Altiparmak2
1Acibadem University School of Medicine Department of Ophthalmology Turgut Ozal Boulevard, No:16 Pbx: 34303 Kucukcekmece, Istanbul, Turkey.
Purpose:
It is aimed to report on a 16-year-old patient with acquired ocular toxoplasmosis complicated by a retinal tear.
Methods:
Retrospective medical chart review.
Results:
A 16-year-old Caucasian female presented with vision loss in her right eye. In addition to a white active lesion between the fovea and the optic nerve head, marked vitreous opacification was noted. She was diagnosed with ocular toxoplasmosis. The patient was treated with oral azithromycin, clindamycin, and trimethoprimsulfamethoxazole. One month later, retinochoroiditis resolved and vitreous cleared. Three months after onset, patient presented with floaters in the right eye and a retinal tear was located at the temporal region of the retina. Prophylactic argon laser treatment that encircled the retinal tear was performed. No other abnormalities were noted during 6 months of follow-up.
Conclusions:
Retinal tear associated with ocular toxoplasmosis is rare; however, a retinal tear can occur due to vitreoretinal traction following post-inflammatory structural alteration of the vitreous. Retinal tears may be seen during the healing phase, when the inflammation turns into tightening of vitreous substance. Careful retinal examination in cases of ocular toxoplasmosis is warranted, especially in patients with severe vitreous inflammation.
