Tags

Type your tag names separated by a space and hit enter

Retinal detachment associated with ocular toxoplasmosis.
Retina 2015; 35(2):358-63R

Abstract

PURPOSE

To assess the frequency of retinal detachment (RD) and associated clinical features in ocular toxoplasmosis.

METHODS

A review of the medical records of patients diagnosed with ocular toxoplasmosis and follow-up of 6 months or more was conducted. All patients were seen at the Casey Eye Institute at the Oregon Health & Science University over a 9-year period (2003-2012). Demographic data, presence of RD and/or vitritis, and treatments were reviewed. Main outcome measures were the rate of RD in ocular toxoplasmosis, degree of vision loss, and final anatomical status of the retina. Disease- and treatment-related factors associated with poor visual outcome were also analyzed.

RESULTS

Thirty-five eyes of 28 patients with ocular toxoplasmosis and sufficient follow-up were studied. Median age of patients was 40 years (range, 7-93 years). Median follow-up time was 22.5 months (range, 6-96 months). Four of thirty-five eyes (11.4%) developed RD with a frequency of 0.06 RD events per patient-year of follow-up in this sample in a single center. Of four patients with RD, three underwent pars plana vitrectomy and one underwent laser retinopexy. Two of the 4 patients had recurrent RD requiring scleral buckle. At final follow-up, all patients who underwent surgical repair had attached retinas; however, 3 of 4 patients had severe vision loss (20/200 or worse).

CONCLUSION

Retinal detachment occurred in 11% of eyes in this study that led to severe vision loss despite successful RD repair.

Authors+Show Affiliations

*Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon; †Department of Ophthalmology, Emory Eye Center, Emory University, Atlanta, Georgia; ‡Portland Veterans Association Medical Center, Portland, Oregon; and §Department of Ophthalmology, Flinders University, Adelaide, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

25127047

Citation

Faridi, Ambar, et al. "Retinal Detachment Associated With Ocular Toxoplasmosis." Retina (Philadelphia, Pa.), vol. 35, no. 2, 2015, pp. 358-63.
Faridi A, Yeh S, Suhler EB, et al. Retinal detachment associated with ocular toxoplasmosis. Retina (Philadelphia, Pa). 2015;35(2):358-63.
Faridi, A., Yeh, S., Suhler, E. B., Smith, J. R., & Flaxel, C. J. (2015). Retinal detachment associated with ocular toxoplasmosis. Retina (Philadelphia, Pa.), 35(2), pp. 358-63. doi:10.1097/IAE.0000000000000279.
Faridi A, et al. Retinal Detachment Associated With Ocular Toxoplasmosis. Retina (Philadelphia, Pa). 2015;35(2):358-63. PubMed PMID: 25127047.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retinal detachment associated with ocular toxoplasmosis. AU - Faridi,Ambar, AU - Yeh,Steven, AU - Suhler,Eric B, AU - Smith,Justine R, AU - Flaxel,Christina J, PY - 2014/8/16/entrez PY - 2014/8/16/pubmed PY - 2015/7/15/medline SP - 358 EP - 63 JF - Retina (Philadelphia, Pa.) JO - Retina (Philadelphia, Pa.) VL - 35 IS - 2 N2 - PURPOSE: To assess the frequency of retinal detachment (RD) and associated clinical features in ocular toxoplasmosis. METHODS: A review of the medical records of patients diagnosed with ocular toxoplasmosis and follow-up of 6 months or more was conducted. All patients were seen at the Casey Eye Institute at the Oregon Health & Science University over a 9-year period (2003-2012). Demographic data, presence of RD and/or vitritis, and treatments were reviewed. Main outcome measures were the rate of RD in ocular toxoplasmosis, degree of vision loss, and final anatomical status of the retina. Disease- and treatment-related factors associated with poor visual outcome were also analyzed. RESULTS: Thirty-five eyes of 28 patients with ocular toxoplasmosis and sufficient follow-up were studied. Median age of patients was 40 years (range, 7-93 years). Median follow-up time was 22.5 months (range, 6-96 months). Four of thirty-five eyes (11.4%) developed RD with a frequency of 0.06 RD events per patient-year of follow-up in this sample in a single center. Of four patients with RD, three underwent pars plana vitrectomy and one underwent laser retinopexy. Two of the 4 patients had recurrent RD requiring scleral buckle. At final follow-up, all patients who underwent surgical repair had attached retinas; however, 3 of 4 patients had severe vision loss (20/200 or worse). CONCLUSION: Retinal detachment occurred in 11% of eyes in this study that led to severe vision loss despite successful RD repair. SN - 1539-2864 UR - https://www.unboundmedicine.com/medline/citation/25127047/Retinal_detachment_associated_with_ocular_toxoplasmosis_ L2 - http://Insights.ovid.com/pubmed?pmid=25127047 DB - PRIME DP - Unbound Medicine ER -